Individual provider Active NPI

Susan Lynn Donner, M.D.

  • Psychiatry Physician
  • Woodland Hills, CA
National Provider Identifier
1932423365
Registry record updated Mar 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
G75432 Issued in CA
Practice address
21243 Ventura Blvd
Suite 239
Woodland Hills, CA 91364-2109
Phone
(818) 883-1020
Fax
(818) 758-8362
NPI assigned
Mar 13, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X G75432 CA Primary
Child & Adolescent Psychiatry Physician 2084P0804X G75432 CA

Addresses

Primary practice location

21243 Ventura Blvd
Suite 239
Woodland Hills, CA 91364-2109

Mailing address

21243 Ventura Blvd
Suite 239
Woodland Hills, CA 91364-2109
Phone (818) 883-1020

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G75432CAMDChild & Adolescent Psychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1268438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268438400000",
    "number": "1932423365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21243 VENTURA BLVD",
            "address_2": "SUITE 239",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913642109",
            "telephone_number": "818-883-1020",
            "fax_number": "818-758-8362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21243 VENTURA BLVD",
            "address_2": "SUITE 239",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913642109",
            "telephone_number": "818-883-1020",
            "fax_number": "818-758-8362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONNER",
        "first_name": "SUSAN",
        "middle_name": "LYNN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-13",
        "last_updated": "2010-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G75432",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "CA",
            "license": "G75432",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 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.