Organization Active NPI

Dr Li'S Clinic

  • Psychiatry Physician
  • Milford, MA
National Provider Identifier
1023399425
Registry record updated Aug 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
160730 Issued in MA
Legal business name
DR LI'S CLINIC
Practice address
229 E Main St
Suite 204
Milford, MA 01757-2832
Phone
(508) 458-9060
Fax
(508) 458-9060
NPI assigned
Aug 30, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2011

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

Authorized official

Name
Dr. Xiangyang Li, MDNPI 1497719132
Title
President
Phone
(508) 458-9060

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 160730 MA
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X 160730 MA Primary

Addresses

Primary practice location

229 E Main St
Suite 204
Milford, MA 01757-2832

Mailing address

27 Edgemoor Ave
Wellesley, MA 02482-2210
Phone (508) 458-9060

Other identifiers 1

IdentifierTypeStateIssuer
3205240MedicaidMA

National Provider Directory

National Provider Directory

Locations

229 E Main St
Ste 204
Milford, MA 01757
Phone (339) 793-8853

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1314662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314662400000",
    "number": "1023399425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 EDGEMOOR AVE",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024822210",
            "telephone_number": "508-458-9060",
            "fax_number": "508-458-9060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 E MAIN ST",
            "address_2": "SUITE 204",
            "city": "MILFORD",
            "state": "MA",
            "postal_code": "017572832",
            "telephone_number": "508-458-9060",
            "fax_number": "508-458-9060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR LI'S CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-30",
        "last_updated": "2011-08-30",
        "status": "A",
        "authorized_official_last_name": "LI",
        "authorized_official_first_name": "XIANGYANG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-458-9060",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "160730",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "160730",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3205240",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2011; 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.