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
- 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
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 712373 | Other | MA | TUFTS HEALTH PLAN |
| B07169 | Other | MA | BCBS MA |
| 3011755 | Medicaid | MA |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arbour Inc | Current | Accepting new patients | |
| Arbour Inc | Addiction Psychiatry | 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 and National Provider Directory roles.
-
- Psychiatric Hospital
- Boston, MA
- NPI 1821068818
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": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH PLAN",
"identifier": "712373",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS MA",
"identifier": "B07169",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3011755",
"state": "MA"
}
],
"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.