Individual provider Active NPI

Laura Maude Duskin, M.D.

  • Psychiatry Physician
  • Mooresville, NC
National Provider Identifier
1881643310
Registry record updated Sep 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
2008-00229 Issued in NC
Practice address
122 Gateway Blvd Ste C
Mooresville, NC 28117-5544
Phone
(704) 360-3637
NPI assigned
May 10, 2006
Last updated
Sep 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 2008-00229 NC Primary
Psychiatry Physician 2084P0800X G50778 CA

Addresses

Primary practice location

122 Gateway Blvd Ste C
Mooresville, NC 28117-5544

Mailing address

122 Gateway Blvd Ste C
Mooresville, NC 28117-5544
Phone (704) 360-3637

Other identifiers 2

IdentifierTypeStateIssuer
7068MedicaidCA
6758MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040604000991 CA Practitioner - PsychiatryPractitioner - Interventional Pain ManagementPractitioner - Geriatric MedicinePractitioner - Other (Physician) 5496737140 Reassigns benefits to 3 organizations
I20100628000217 NC Practitioner - PsychiatryPractitioner - General Practice 5496737140

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G50778CAMDPsychiatry Physician
2008-00229NCMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Asheli Thompson CurrentSince Feb 14, 2023 Accepting new patients
Asian Pacific Health Care Venture, Inc. Current Accepting new patients
County of Santa Clara CurrentSince Aug 13, 2017 Accepting new patients
Asian Pacific Health Care Venture, Inc. CurrentSince Oct 4, 2022 Accepting new patients
Alameda County CurrentSince May 18, 2021 Accepting new patients
County of Santa Clara Current Accepting new patients
Alameda County Current Accepting new patients
County of Santa Clara CurrentSince Aug 13, 2017 Accepting new patients
County of Alameda Past Accepting new patients
John Muir Physician Network Past Accepting new patients
Advanced Family Strategies LLC PastSince Apr 8, 2015 Accepting new patients

Locations

2045 Fairmont Dr
Castro Valley, CA 94578
Phone (510) 667-7500

9960 Baldwin Pl
El Monte, CA 91731
Phone (626) 774-2988

409 Jackson St
Ste 100
Hayward, CA 94544
Phone (510) 383-5103

1530 Hillhurst Ave
Los Angeles, CA 90027
Phone (323) 644-3880

4216 Fountain Ave
Los Angeles, CA 90029
Phone (323) 644-3880

7200 Bancroft Ave
Ste 125A
Oakland, CA 94605
Phone (510) 777-3800

751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110

122 Gateway Blvd
Ste C
Mooresville, NC 28117
Phone (980) 766-1030

Interoperability endpoints

  • Direct secure messaging: lduskin609962@direct.medicine.duke.edu

Organizations & group practices 11

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": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1881643310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 GATEWAY BLVD STE C",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281175544",
            "telephone_number": "704-360-3637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 GATEWAY BLVD STE C",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281175544",
            "telephone_number": "704-360-3637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUSKIN",
        "first_name": "LAURA",
        "middle_name": "MAUDE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-10",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "2008-00229",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G50778",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7068",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6758",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mooresville, NC

Sources for this page

Verify at the official NPI Registry.