MICHELLE LANE PHOMMACHIT
NPI 1326639956
Counselor - Addiction (Substance Use Disorder) in San Leandro, CA

Q: What is Michelle Phommachit's NPI number?

The NPI number for Michelle Phommachit is 1326639956. It was assigned to this individual provider in the NPPES registry on January 27, 2021.

Q: What is Michelle Phommachit's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Active since January 27, 2021

2035 FAIRMONT DR # SR, SAN LEANDRO, CA 94578(866) 866-7496 Get Directions Write a Review

NPPES record last updated: January 27, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Michelle Lane Phommachit NPPES

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

MICHELLE LANE PHOMMACHIT (NPI 1326639956) is an individual addiction (substance use disorder) provider in San Leandro, California, licensed in California (11468) and active in the NPI registry since January 2021.

NPPES Registry Identity

NPI1326639956

Entity TypeIndividualFemale

Primary Taxonomy101YA0400X

Provider Legal NameMICHELLE LANE PHOMMACHIT

Location Address2035 FAIRMONT DR # SRSan Leandro, CA 94578-1088

Mailing Address39663 Leslie St Apt 424Fremont, CA 94538-2243 · (408) 707-7122

Phone(866) 866-7496

Sole ProprietorNo

Enumeration DateJanuary 27, 2021

NPPES CertifiedJanuary 27, 2021

✔ NPI 1326639956 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

License✔ Licensed in CA · 11468

2035 FAIRMONT DR # SR, San Leandro, CA 94578

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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 Michelle Phommachit's NPI number?

The NPI number for Michelle Phommachit is 1326639956. It was assigned to this individual provider in the NPPES registry on January 27, 2021.

Where is Michelle Phommachit located?

Michelle Phommachit practices at 2035 Fairmont Dr # Sr, San Leandro, CA 94578. The listed phone number is (866) 866-7496.

What is Michelle Phommachit's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Michelle Phommachit was last updated on January 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.