DR. STEPHANIE PHAN PSYD
NPI 1114579687
Psychologist - Clinical in Carmichael, CA

Active since July 15, 2019PECOS EnrolledAccepts Medicare Assignment
5931 STANLEY AVE STE 6, CARMICHAEL, CA 95608(916) 640-8161 Get Directions Write a Review

NPPES record last updated: April 14, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 14, 2023, Aug 16, 2021, Jul 15, 2019 (3 updates tracked since 2019).

About Dr. Stephanie Phan Psyd NPPES

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

DR. STEPHANIE PHAN PSYD (NPI 1114579687) is an individual clinical provider in Carmichael, California, licensed in Hawaii (PSY-2051) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in San Francisco, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1114579687
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. STEPHANIE PHANCredential: PSYD
Location Address5931 STANLEY AVE STE 6Carmichael, CA 95608-3846
Mailing Address5931 Stanley Ave Ste 6Carmichael, CA 95608-3846 · (916) 640-8161
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJuly 15, 2019
Last NPPES UpdateApril 14, 20233 updates tracked since enumeration
NPPES CertifiedApril 14, 2023
NPI 1114579687 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Licenses Licensed in HI · PSY-2051 Licensed in CA · PSY32681
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
5931 STANLEY AVE STE 6, Carmichael, CA 95608

Secondary Practice Location 1

Location 11001 Potrero Ave Rm 7G9San Francisco, CA 94110-3518 · Phone (415) 206-8925

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Stephanie Phan Psyd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8224408745
PECOS Enrollment IDI20221228000434
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95608 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$180.85 typical visit price
range $60.44 – $180.85
Typical copayment $45.21 (range $15.11 – $45.21)
Most-billed visit code 99205
Established Patient
$105.95 typical visit price
range $19.88 – $148.15
Typical copayment $26.48 (range $4.97 – $37.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

Marriage & Family Therapist
5931 STANLEY AVE STE 6
CARMICHAEL, CA 95608

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 Stephanie Phan's NPI number?

The NPI number for Stephanie Phan is 1114579687. It was assigned to this individual provider in the NPPES registry on July 15, 2019.

Where is Stephanie Phan located?

Stephanie Phan practices at 5931 Stanley Ave Ste 6, Carmichael, CA 95608. The listed phone number is (916) 640-8161.

What is Stephanie Phan's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Stephanie Phan enrolled in Medicare?

Yes. Stephanie Phan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Stephanie Phan accept?

Health plans from HMSA list Stephanie Phan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Stephanie Phan was last updated on April 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.