Luz Evangeline S Dizon MD PC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

81052 Issued in MA

Legal business name

LUZ EVANGELINE S DIZON MD PC

Practice address

235 N Pearl St
Brockton, MA 02301-1794

Phone

(508) 427-2525

NPI assigned

Jan 9, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Luz E Dizon

Title

Owner

Phone

(508) 898-8650

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rosemarie Paolini, NP

  • Adult Psychiatric/Mental Health Clinical Nurse Specialist
  • Brockton, MA
  • NPI 1225025877
  NPD (past)

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584489600000",
    "number": "1700935988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 N PEARL ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023011794",
            "telephone_number": "508-427-2424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 N PEARL ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023011794",
            "telephone_number": "508-427-2525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUZ EVANGELINE S DIZON MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2020-03-18",
        "certification_date": "2020-03-18",
        "status": "A",
        "authorized_official_last_name": "DIZON",
        "authorized_official_first_name": "LUZ",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-898-8650",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "81052",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "M19352",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9774670",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Francis Luongo, LCSW, MSW, BS,
• Bethany Lusk, RD
• Lutheran Social Services of New England
• Nicholas Lutzo
• Luxottica of America Inc.
• Duy Quoc Ly, M.D.
• Danielle Joyce Lydon, MSOT
• Ryan Matthew Lydon, MD
• Mary P Lynch, PTA
• Regina Lynch

• Mental Health Counselor in Brockton, MA
• Providers in Brockton, MA by specialty
• Mental Health Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.