Active NPI
Laurence Evans Ducomb, MD
- Addiction Psychiatry Physician
- Jamaica Plain, MA
National Provider Identifier
1497734768
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Psychiatry Physician
- License
- 43588
- Practice address
- 49 Robinwood Ave
The Arbour Hospital
Jamaica Plain, MA 02130 - Phone
- (617) 390-1410
- Fax
- (617) 390-1595
- NPI assigned
- Jan 13, 2006
- Last updated
- Dec 2, 2015
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Addiction Psychiatry Physician | 2084P0802X | 43588 | MA | Primary |
Addresses
Primary practice location
49 Robinwood Ave
The Arbour Hospital
Jamaica Plain, MA 02130
Mailing address
63 Brettwood Rd
Belmont, MA 02478-2305
Phone (617) 390-1410
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Wayne State University School of Medicine, 1975
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
49 Robinwood Ave
Boston, MA 02130-2156
Phone (617) 522-4400
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 43588 | MA | MD | Addiction Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arbour Inc | Addiction Psychiatry | Current | Accepting new patients |
| Arbour Inc | Current | Accepting new patients |
Locations
49 Robinwood Ave
Jamaica Plain, MA 02130
Phone (617) 390-1204
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449014400000",
"number": "1497734768",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "63 BRETTWOOD RD",
"city": "BELMONT",
"state": "MA",
"postal_code": "024782305",
"telephone_number": "617-390-1410",
"fax_number": "617-390-1584"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "49 ROBINWOOD AVE",
"address_2": "THE ARBOUR HOSPITAL",
"city": "JAMAICA PLAIN",
"state": "MA",
"postal_code": "02130",
"telephone_number": "617-390-1410",
"fax_number": "617-390-1595"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUCOMB",
"first_name": "LAURENCE",
"middle_name": "EVANS",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-13",
"last_updated": "2015-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0802X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Addiction Psychiatry",
"state": "MA",
"license": "43588",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jamaica Plain, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.