Active NPI
Phat Ly
- Marriage & Family Therapist
- Long Beach, CA
National Provider Identifier
1609594886
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 156393
- Practice address
- 1500 Hughes Way # 100
Long Beach, CA 90810-1870 - Phone
- (213) 252-5800
- NPI assigned
- Aug 15, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Marriage & Family Therapist | 106H00000X | 156393 | CA | Primary |
Addresses
Primary practice location
1500 Hughes Way # 100
Long Beach, CA 90810-1870
Mailing address
1500 Hughes Way # 100
Long Beach, CA 90810-1870
Phone (213) 252-5800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 156393 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752710400000",
"number": "1609594886",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 HUGHES WAY # 100",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908101870",
"telephone_number": "213-252-5800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 HUGHES WAY # 100",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908101870",
"telephone_number": "213-252-5800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LY",
"first_name": "PHAT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-08-15",
"last_updated": "2025-07-17",
"certification_date": "2025-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "156393",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.