TIEN PHAN PSYCHOLOGIST, PC
NPI 1902669815
Psychologist - Clinical in San Diego, CA

Active since February 02, 2024
5755 OBERLIN DR STE 203, SAN DIEGO, CA 92121(858) 218-6187 Get Directions Write a Review

NPPES record last updated: February 2, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Tien Phan Psychologist, Pc NPPES

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

TIEN PHAN PSYCHOLOGIST, PC (NPI 1902669815) is a healthcare organization registered as a clinical in San Diego, California and active in the NPI registry since February 2024. The organization lists Tien Vang Phan, Clinical Psychologist, as its authorized official.

NPPES Registry Identity

NPI1902669815
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameTIEN PHAN PSYCHOLOGIST, PC
Location Address5755 OBERLIN DR STE 203San Diego, CA 92121-1786
Mailing Address5663 Balboa Ave Ste 380San Diego, CA 92111-2705 · (415) 728-5445
Organization SubpartNo
Authorized OfficialTien Vang PhanClinical Psychologist · (415) 728-5445
Enumeration DateFebruary 2, 2024
NPPES CertifiedJanuary 30, 2024
NPI 1902669815 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
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.

5755 OBERLIN DR STE 203, San Diego, CA 92121

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

Clinic/Center (Mental Health (Including Community Mental Health Center))
5755 OBERLIN DR STE 203
SAN DIEGO, CA 92121

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 Tien Phan Psychologist, PC's NPI number?

The NPI number for Tien Phan Psychologist, PC is 1902669815. It was assigned to this organization in the NPPES registry on February 2, 2024.

Where is Tien Phan Psychologist, PC located?

Tien Phan Psychologist, PC is located at 5755 Oberlin Dr Ste 203, San Diego, CA 92121. The listed phone number is (858) 218-6187.

What is Tien Phan Psychologist, PC's specialty?

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

When was this NPI record last updated?

The NPPES record for Tien Phan Psychologist, PC was last updated on February 2, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.