Individual provider Active NPI

Susan Maria Lotto, PH. D, CASAC

  • Psychologist
  • Brooklyn, NY
National Provider Identifier
1609916261
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
012572-1 Issued in NY
Practice address
971 Jerome St
Brooklyn, NY 11207-9252
Phone
(718) 272-3300
NPI assigned
Feb 6, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 012572-1 NY Primary

Addresses

Primary practice location

971 Jerome St
Brooklyn, NY 11207-9252

Mailing address

751 E 102ND St
Brooklyn, NY 11236-2607
Phone (718) 272-9529

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120417000040 NY Practitioner - Clinical Psychologist 7911168042 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
012572-1NYMDPhysical Rehabilitation Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ahava Medical and Rehabilitation Center, LLC CurrentSince Jul 1, 2018 Accepting new patients
Catholic Guardian Services CurrentSince May 7, 2019 Accepting new patients
The Institute for Family Health PastSince May 7, 2019 Accepting new patients

Locations

1990 Westchester Ave
Bronx, NY 10462
Phone (718) 239-1610

2555 Nostrand Ave
Brooklyn, NY 11210
Phone 7189518800108

16 Sumner Pl
Brooklyn, NY 11206
Phone (718) 336-9500

1011 1st Ave
Fl 10
New York, NY 10022
Phone (212) 371-1000

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: susan.lotto.p3@direct.heartshare.nextgenshare.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609916261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "751 E 102ND ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112362607",
            "telephone_number": "718-272-9529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "971 JEROME ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112079252",
            "telephone_number": "718-272-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOTTO",
        "first_name": "SUSAN",
        "middle_name": "MARIA",
        "name_prefix": "Dr.",
        "credential": "PH. D, CASAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "012572-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.