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DR. THUC DUY PHAN M.D.
NPI 1205125291
Psychiatry & Neurology - Child & Adolescent Psychiatry in Gouverneur, NY

Active since March 31, 2011
28 WILLIAM ST, GOUVERNEUR, NY 13642(315) 287-2811 Get Directions Write a Review

NPPES record last updated: November 16, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Thuc Duy Phan M.d. NPPES

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

DR. THUC DUY PHAN M.D. (NPI 1205125291) is an individual child & adolescent psychiatry provider in Gouverneur, New York, licensed in New York (269123) and active in the NPI registry since March 2011.

NPPES Registry Identity

NPI1205125291
Entity TypeIndividualMale
Primary Taxonomy2084P0804X
Provider Legal NameDR. THUC DUY PHANCredential: M.D.
Location Address28 WILLIAM STGouverneur, NY 13642-1405
Mailing Address514 Rozelle AveSugar Land, TX 77498-3080 · (281) 772-7400
Phone(315) 287-2811
Sole ProprietorNo
Enumeration DateMarch 31, 2011
Last NPPES UpdateNovember 16, 2021
NPPES CertifiedNovember 16, 2021
✔ NPI 1205125291 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
Licenses✔ Licensed in NY · 269123✔ Licensed in TX · R0297
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
28 WILLIAM ST, Gouverneur, NY 13642
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Other Providers at the Same Location NPPES 15

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

MS. AMY JO THORBAHN RN,BSN
Registered Nurse (Community Health)
28 WILLIAM ST
GOUVERNEUR, NY 13642
St. Lawrence County (315) 287-2811
DENISE MARIE HERHEIM
Social Worker (Clinical)
28 WILLIAM ST
GOUVERNEUR, NY 13642
St. Lawrence County (315) 287-2811
MRS. DARA LEE WURZBURG LMSW
Social Worker
28 WILLIAM ST
GOUVERNEUR, NY 13642
St. Lawrence County (315) 287-2811
ALEX DICKINSON LMSW
Social Worker
28 WILLIAM ST
GOUVERNEUR, NY 13642
St. Lawrence County (315) 287-2811
CARRIE LYNN ISEREAU LCSW
Social Worker
28 WILLIAM ST
GOUVERNEUR, NY 13642
St. Lawrence County (315) 287-2811
MRS. SHARON MACDONALD LPN
Licensed Practical Nurse
28 WILLIAM ST
GOUVERNEUR, NY 13642
St. Lawrence County (315) 287-2811
MARY BRONDOU DOUSHARM LCSW
Social Worker (Clinical)
28 WILLIAM ST
GOUVERNEUR, NY 13642
St. Lawrence County (315) 287-2811
CHRISTINA HARMAN
Registered Nurse (Community Health)
28 WILLIAM ST
GOUVERNEUR, NY 13642
St. Lawrence County (315) 287-2811

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 Thuc Phan's NPI number?

The NPI number for Thuc Phan is 1205125291. It was assigned to this individual provider in the NPPES registry on March 31, 2011.

Where is Thuc Phan located?

Thuc Phan practices at 28 William St, Gouverneur, NY 13642. The listed phone number is (315) 287-2811.

What is Thuc Phan's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

When was this NPI record last updated?

The NPPES record for Thuc Phan was last updated on November 16, 2021. 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.