DR. THU DAN THI PHAM PH.D.
NPI 1114131737
Psychologist in Stockton, CA
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
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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).
Medicare Billing Reassignment
Medicare enrollment records show Thu Pham reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Stockton, CA 95210
- Reassigned Medicare billing, California enrollment
- 20,078 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
Which organization bills Medicare for Thu Pham's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Thu Pham reassigns Medicare benefits to Permanente Medical Group Inc (Stockton, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Thu Pham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Thu Pham was last updated on January 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.