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LONG PHAN
NPI 1215321849
Marriage & Family Therapist in Ceres, CA

Active since March 20, 2015
1904 RICHLAND AVE, CERES, CA 95307(209) 525-7411 Get Directions Write a Review

NPPES record last updated: November 19, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 19, 2025, Feb 13, 2025, Jan 29, 2016 (3 updates tracked since 2016).

About Long Phan NPPES

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

LONG PHAN (NPI 1215321849) is an individual marriage & family therapist in Ceres, California, licensed in California (147197) and active in the NPI registry since March 2015.

NPPES Registry Identity

NPI1215321849
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameLONG PHAN
Location Address1904 RICHLAND AVECeres, CA 95307-4562
Mailing Address1212 N California StStockton, CA 95202-1552 · (209) 468-8700
Phone(209) 525-7411
Sole ProprietorNo
Enumeration DateMarch 20, 2015
Last NPPES UpdateNovember 19, 20253 updates tracked since enumeration
NPPES CertifiedNovember 19, 2025
✔ NPI 1215321849 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · 147197
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 147197 (CA)
1904 RICHLAND AVE, Ceres, CA 95307
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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.

JULIA ROSE GARDEA
Technician
1904 RICHLAND AVE
CERES, CA 95307
Stanislaus County (209) 541-2121
ALYSSA WELLS LMFT
Marriage & Family Therapist
1904 RICHLAND AVE
CERES, CA 95307
Stanislaus County (209) 558-4600
GHAZIA HASSAN
Counselor (Professional)
1904 RICHLAND AVE
CERES, CA 95307
Stanislaus County (209) 525-7472
TELECARE CORPORATION
Psychiatric Hospital
1904 RICHLAND AVE
CERES, CA 95307
Stanislaus County (510) 337-7950
CONSTANCE MCDONALD
Counselor (Mental Health)
1904 RICHLAND AVE
CERES, CA 95307
Stanislaus County (209) 300-8800
ROSEANN REYNOSO CADC-11
Counselor (Addiction (Substance Use Disorder))
1904 RICHLAND AVE
CERES, CA 95307
Stanislaus County (209) 525-7411
MRS. SAQUOIRA CHILES
Social Worker (Clinical)
1904 RICHLAND AVE
CERES, CA 95307
Stanislaus County (209) 300-8800
BHRS
Counselor (Addiction (Substance Use Disorder))
1904 RICHLAND AVE
CERES, CA 95307
Stanislaus County (209) 525-7411

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 Long Phan's NPI number?

The NPI number for Long Phan is 1215321849. It was assigned to this individual provider in the NPPES registry on March 20, 2015.

Where is Long Phan located?

Long Phan practices at 1904 Richland Ave, Ceres, CA 95307. The listed phone number is (209) 525-7411.

What is Long Phan's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

When was this NPI record last updated?

The NPPES record for Long Phan was last updated on November 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.