Organization Active NPI

Susana C.Lugo M.D.,LLC

  • Psychiatry Physician
  • Andover, MA
National Provider Identifier
1649572397
Registry record updated Dec 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
SUSANA C.LUGO M.D.,LLC
Practice address
15 Main St
Andover, MA 01810-3701
Phone
(978) 475-1714
NPI assigned
Dec 1, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2010

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

Authorized official

Name
Susana Castillo Lugo, M.D.
Title
Psychiatrist
Phone
(603) 475-4885

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

15 Main St
Andover, MA 01810-3701

Mailing address

15 Main St
Andover, MA 01810-3701
Phone (978) 475-1714

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1291161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291766400000",
    "number": "1649572397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 MAIN ST",
            "city": "ANDOVER",
            "state": "MA",
            "postal_code": "018103701",
            "telephone_number": "978-475-1714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 MAIN ST",
            "city": "ANDOVER",
            "state": "MA",
            "postal_code": "018103701",
            "telephone_number": "978-475-1714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSANA C.LUGO M.D.,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-01",
        "last_updated": "2010-12-08",
        "status": "A",
        "authorized_official_last_name": "LUGO",
        "authorized_official_first_name": "SUSANA",
        "authorized_official_middle_name": "CASTILLO",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "603-475-4885",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Andover, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.