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Active NPI 1083104764 Individual Practitioner Female Practitioner

Vivian Ly

Chiropractor • West Haven, CT

Professional Overview & Biography Verified Profile Summary

Vivian Ly is a registered healthcare professional specializing in Chiropractor in West Haven, CT. Practice services are available at 950 CAMPBELL AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

950 Campbell Ave

West Haven, CT 065162770

Telephone 2039325711
Associated Practice Facility / Clinic
🏢 West Haven Vamc Facility NPI 1144278649

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in West Haven, CT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 36.0 Yrs
State Avg: 26.4 Yrs
Regional Practice Density
18 Specialists

Practicing in West Haven, CT (937 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License CT 2116

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Leslie Tanquilut , PharmD

Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

NPI 1003081902

Doctor of Pharmacy (Pharm.D.)

Dr. Nicholas Vissicchio , PhD

Psychologist - Clinical

NPI 1003598087

Doctor of Philosophy (Ph.D.)

Devon Mackay , LMSW

Social Worker

NPI 1003618471

Licensed Master Social Worker

NPI 1003908229
Dr. John Beauvais , PhD

Psychologist - Clinical

NPI 1003908781

Doctor of Philosophy (Ph.D.)

Tracey Pascarella , RD

Dietitian, Registered

NPI 1003910332

Registered Dietitian

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active May 17, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location May 17, 2018

Registered at 950 CAMPBELL AVE, WEST HAVEN, CT 065162770 (Tel: 2039325711)

📍
Updated Business Mailing Address May 17, 2018

Registered at 4665 TARANTELLA LN, SAN DIEGO, CA 921302465 (Tel: 8589977951)

👤
Provider Name / Credentials Updated May 17, 2018

Recorded as VIVIAN LY

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 17, 2018

Chiropractor (License #2116 in CT)

🟢
Initial NPI Registration & Enumeration May 17, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1083104764
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 17, 2018
Last Update: May 17, 2018
Sole Proprietor: Yes

Mailing Address

4665 Tarantella Ln

San Diego, CA 921302465

Phone: 8589977951

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.