Active NPI
Danute Banelis, M.D.
- Psychiatry Physician
- Huntsville, AL
National Provider Identifier
1750302675
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 033521
- Practice address
- 301 Governors Dr SW
Huntsville, AL 35801-5123 - Phone
- (256) 535-3166
- Fax
- (256) 539-1257
- NPI assigned
- Jul 23, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 033521 | CT | Primary |
Addresses
Primary practice location
301 Governors Dr SW
Huntsville, AL 35801-5123
Mailing address
4506 Autumn Leaves TRL SE
Decatur, AL 35603-5341
Phone (256) 565-5154
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 033521 | CT | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153612800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1750302675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4506 AUTUMN LEAVES TRL SE",
"city": "DECATUR",
"state": "AL",
"postal_code": "356035341",
"telephone_number": "256-565-5154"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 GOVERNORS DR SW",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358015123",
"telephone_number": "256-535-3166",
"fax_number": "256-539-1257"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BANELIS",
"first_name": "DANUTE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CT",
"license": "033521",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Huntsville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.