DR. THU DAN THI PHAM PH.D.
NPI 1114131737
Psychologist in Stockton, CA

Active since May 10, 2007PECOS Enrolled
1305 TOMMYDON ST, STOCKTON, CA 95210(209) 476-5256(209) 476-3528 Get Directions Write a Review

NPPES record last updated: January 11, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Thu Dan Thi Pham Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. THU DAN THI PHAM PH.D. (NPI 1114131737) is an individual psychologist in Stockton, California, licensed in California (PSY 21326) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114131737
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. THU DAN THI PHAMCredential: PH.D.
Location Address1305 TOMMYDON STStockton, CA 95210-3364
Mailing Address1305 Tommydon StStockton, CA 95210-3364
Fax(209) 476-3528
Sole ProprietorNo
Enumeration DateMay 10, 2007
Last NPPES UpdateJanuary 11, 2022
NPI 1114131737 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in CA · PSY 21326
Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

1305 TOMMYDON ST, Stockton, CA 95210

Other Names 1

Other Name (5)Dr. Thu Dan Pham Ph.d.

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Thu Dan Thi Pham Ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
1305 TOMMYDON ST
STOCKTON, CA 95210
Psychologist
1305 TOMMYDON ST
STOCKTON, CA 95210
Social Worker (Clinical)
1305 TOMMYDON ST
STOCKTON, CA 95210
Marriage & Family Therapist
1305 TOMMYDON ST
STOCKTON, CA 95210
Social Worker (Clinical)
1305 TOMMYDON ST
STOCKTON, CA 95210
Psychologist (Clinical)
1305 TOMMYDON ST
STOCKTON, CA 95210
Marriage & Family Therapist
1305 TOMMYDON ST
STOCKTON, CA 95210
Marriage & Family Therapist
1305 TOMMYDON ST
STOCKTON, CA 95210

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Thu Pham's NPI number?

The NPI number for Thu Pham is 1114131737. It was assigned to this individual provider in the NPPES registry on May 10, 2007. The provider is also known as Dr. Thu Dan Pham Ph.D..

Where is Thu Pham located?

Thu Pham practices at 1305 Tommydon St, Stockton, CA 95210. The listed phone number is (209) 476-5256.

What is Thu Pham's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Thu Pham enrolled in Medicare?

Yes. Thu Pham is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Thu Pham was last updated on January 11, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.