DR. SUSAN MARIE DITTER M.D., M.P.H.
NPI 1710188438
Psychiatry & Neurology - Psychiatry in San Jose, CA

Q: What is Susan Ditter's NPI number?

The NPI number for Susan Ditter is 1710188438. It was assigned to this individual provider in the NPPES registry on May 30, 2007.

Q: What is Susan Ditter's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for Susan Ditter was last updated on April 3, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 30, 2007PECOS EnrolledAccepts Medicare Assignment

2221 ENBORG LN, SAN JOSE, CA 95128(408) 885-6220(408) 885-3977 Get Directions Write a Review

NPPES record last updated: April 3, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Dr. Susan Marie Ditter M.d., M.p.h. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SUSAN MARIE DITTER M.D., M.P.H. (NPI 1710188438) is an individual psychiatry provider in San Jose, California, licensed in California (G87843) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS and is a graduate of Emory University School Of Medicine (1980).

NPPES Registry Identity

NPI1710188438

Entity TypeIndividualFemale

Primary Taxonomy2084P0800X

Provider Legal NameDR. SUSAN MARIE DITTERCredential: M.D., M.P.H.

Location Address2221 ENBORG LNSan Jose, CA 95128-2608

Mailing Address2221 Enborg LnSan Jose, CA 95128-2608 · (408) 885-6220 · Fax (408) 885-3977

Phone(408) 885-6220

Fax(408) 885-3977

Sole ProprietorNo

Medical School CMSEmory University School Of MedicineGraduated 1980

Enumeration DateMay 30, 2007

Last NPPES UpdateApril 3, 2008

✔ NPI 1710188438 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

Licenses✔ Licensed in CA · G87843✔ Licensed in VA · 0101236675✔ Licensed in GA · 024803

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

Also ListedPsychiatry & Neurology · Forensic PsychiatryTaxonomy 2084F0202X · License 0101236675 (VA)

Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X · License 024803 (GA)

2221 ENBORG LN, San Jose, CA 95128

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Other Identifiers 2

Medicare UPIND29310GA

Medicare ID-Type Unspecified006594U92GA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Susan Marie Ditter M.d., M.p.h. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8628021607

PECOS Enrollment IDI20100419000591

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Susan Ditter reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

County Of Santa Clara

Same address

Mental Health (Including Community Mental Health Center)

2221 ENBORG LANE
San Jose, CA 95128

Reassigned Medicare billing, California enrollment
21 clinicians in this Medicare group

NPI 1962512442 (408) 885-6220

Comprehensive Psychiatric Services, A Medical Group

43 mi

Psychiatry

3100 OAK ROAD, SUITE 270
Walnut Creek, CA 94597

Reassigned Medicare billing, California enrollment
149 clinicians in this Medicare group

NPI 1184785834 (925) 944-9711

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95128 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$206.04 typical visit price

range $70.37 – $206.04

Typical copayment $51.51 (range $17.59 – $51.51)

Most-billed visit code 99205

Established Patient

$86.56 typical visit price

range $23.96 – $169.60

Typical copayment $21.64 (range $5.99 – $42.40)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. CHARLES ALFONZO CASTOR-THOMAS VIII

Counselor (Mental Health)