Individual provider Active NPI

Duy Dinh Nguyen, D.O.

  • Psychiatry Physician
  • West Palm Beach, FL
National Provider Identifier
1114276235
Registry record updated Sep 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
OS12673 Issued in FL
Practice address
317 N Lakeside CT
West Palm Beach, FL 33407-6538
Phone
(754) 702-9701
NPI assigned
Sep 5, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X OS12673 FL Primary

Addresses

Primary practice location

317 N Lakeside CT
West Palm Beach, FL 33407-6538

Mailing address

9858 Clint Moore Rd Ste C111-297
Boca Raton, FL 33496-1034
Phone (754) 702-9701

Other practice location 1

7570 S Federal Hwy Ste 2
Hypoluxo, FL 33462
Phone (754) 702-9701

Other practice location 2

3652 S Seacrest Blvd
Boynton Beach, FL 33435-8662
Phone (754) 702-9701

Other practice location 3

900 54th St
West Palm Beach, FL 33407-2436
Phone (754) 702-9701

Other practice location 4

9858 Clint Moore Rd Ste C111-297
Boca Raton, FL 33496-1034
Phone (754) 702-9701

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective May 7, 2025 through May 7, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS12673FLMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Beachway Therapy Center LLC Past Accepting new patients

Organizations & group practices 1

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": "1346803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600128000000",
    "number": "1114276235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9858 CLINT MOORE RD STE C111-297",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334961034",
            "telephone_number": "754-702-9701",
            "fax_number": "754-702-9702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 N LAKESIDE CT",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334076538",
            "telephone_number": "754-702-9701"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7570 S Federal Hwy Ste 2",
            "address_purpose": "LOCATION",
            "city": "Hypoluxo",
            "state": "FL",
            "postal_code": "33462",
            "country_code": "US",
            "telephone_number": "754-702-9701",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3652 S Seacrest Blvd",
            "address_purpose": "LOCATION",
            "city": "Boynton Beach",
            "state": "FL",
            "postal_code": "334358662",
            "country_code": "US",
            "telephone_number": "754-702-9701",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "900 54th St",
            "address_purpose": "LOCATION",
            "city": "West Palm Beach",
            "state": "FL",
            "postal_code": "334072436",
            "country_code": "US",
            "telephone_number": "754-702-9701",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9858 Clint Moore Rd Ste C111-297",
            "address_purpose": "LOCATION",
            "city": "Boca Raton",
            "state": "FL",
            "postal_code": "334961034",
            "country_code": "US",
            "telephone_number": "754-702-9701",
            "fax_number": "754-702-9702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "DUY",
        "middle_name": "DINH",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-09-05",
        "last_updated": "2020-09-15",
        "certification_date": "2020-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "OS12673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.