Individual provider Active NPI

Susan Danto, MD

  • Child & Adolescent Psychiatry Physician
  • Albuquerque, NM
National Provider Identifier
1669529210
Registry record updated Oct 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
97-37 Issued in NM
Practice address
7801 Academy NE
BLDG. 1, Suite 202
Albuquerque, NM 87109
Phone
(505) 262-9193
Fax
(505) 265-7860
NPI assigned
Jan 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X 97-37 NM Primary

Addresses

Primary practice location

7801 Academy NE
BLDG. 1, Suite 202
Albuquerque, NM 87109

Mailing address

10151 Montgomery Blvd NE
Ste 2C
Albuquerque, NM 87111-3664
Phone (505) 262-9193

Other identifiers 1

IdentifierTypeStateIssuer
B4546MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141215000170 NM Practitioner - Psychiatry 4789906124 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Danto Psychiatric Services LLC Current Accepting new patients
Behavioral Healthcare Services, Inc. CurrentSince Dec 1, 2014 Accepting new patients
Behavioral Healthcare Services, Inc. CurrentSince Dec 1, 2014 Accepting new patients

Locations

707 Broadway Blvd NE
Ste 500
Albuquerque, NM 87102
Phone (505) 248-2726

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": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476230400000",
    "number": "1669529210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10151 MONTGOMERY BLVD NE",
            "address_2": "STE 2C",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871113664",
            "telephone_number": "505-262-9193",
            "fax_number": "505-265-7860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7801 ACADEMY NE",
            "address_2": "BLDG. 1, SUITE 202",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87109",
            "telephone_number": "505-262-9193",
            "fax_number": "505-265-7860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANTO",
        "first_name": "SUSAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-05",
        "last_updated": "2016-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NM",
            "license": "97-37",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "B4546",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.