Duy Quoc Ly, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

281590 Issued in MA

Practice address

940 Belmont St
Psychiatry 116A7
Brockton, MA 02301-5596

Phone

(774) 826-2456

NPI assigned

Jun 14, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: duyly@tdh.allscriptsdirect.net

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.

• Arbour Inc

  • Psychiatry Physician
  • Boston, MA
  • NPI 1770766529

  MA, Single Specialty

  Medicare reassignment NPD
• The Commonwealth of Massachusetts

  • Psychiatric Hospital
  • Fall River, MA
  • NPI 1194803288

  MA, Single Specialty

  Medicare reassignment NPD
• The Commonwealth of Massachusetts

  • Psychiatric Hospital Unit
  • Boston, MA
  • NPI 1285759464

  MA, Single Specialty

  Medicare reassignment NPD
• The Commonwealth of Massachusetts

  • Psychiatric Hospital
  • Pocasset, MA
  • NPI 1851477491

  MA, Single Specialty

  Medicare reassignment NPD
• The Commonwealth of Massachusetts

  • Long Term Care Hospital
  • Tewksbury, MA
  • NPI 1871680496

  MA, Single Specialty

  Medicare reassignment NPD
• Uhs of Westwood Pembroke Inc

  • Psychiatric Hospital
  • Westwood, MA
  • NPI 1760453328

  MA, Single Specialty

  Medicare reassignment NPD
• Arbour Inc

  • Psychiatric Hospital
  • Boston, MA
  • NPI 1821068818
  NPD
• The Commonwealth of Massachusetts

  • General Acute Care Hospital
  • Holyoke, MA
  • NPI 1427111574

  Single Specialty

  NPD
• Teladoc Health Medical Group, P.a.

  • Family Medicine Physician
  • Lewisville, TX
  • NPI 1245403567

  Single Specialty

  NPD

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

{
    "created_epoch": "1465862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580860800000",
    "number": "1649620360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "562 AUSTIN LN",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750675206",
            "telephone_number": "214-815-7366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 BELMONT ST",
            "address_2": "PSYCHIATRY 116A7",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023015596",
            "telephone_number": "774-826-2456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LY",
        "first_name": "DUY",
        "middle_name": "QUOC",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-14",
        "last_updated": "2020-02-05",
        "certification_date": "2020-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "281590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bethany Lusk, RD
• Lutheran Social Services of New England
• Nicholas Lutzo
• Luxottica of America Inc.
• Luz Evangeline S Dizon MD PC
• Danielle Joyce Lydon, MSOT
• Ryan Matthew Lydon, MD
• Mary P Lynch, PTA
• Regina Lynch
• Stacey A Lynch, LICSW

• All providers in Brockton, MA
• Psychiatry Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.