CASSIDY PHUONG PHAM
NPI 1982185484
Marriage & Family Therapist in San Diego, CA

Q: What is Cassidy Pham's NPI number?

The NPI number for Cassidy Pham is 1982185484. It was assigned to this individual provider in the NPPES registry on August 23, 2018.

Q: What is Cassidy Pham's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Cassidy Pham was last updated on April 7, 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.

Active since August 23, 2018PECOS Enrolled

4445 EASTGATE MALL STE 200, SAN DIEGO, CA 92121(866) 478-3978 Get Directions Write a Review

NPPES record last updated: April 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 7, 2023, Jan 5, 2022, Nov 29, 2021 and 5 more (8 updates tracked since 2018).

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About Cassidy Phuong Pham NPPES

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

CASSIDY PHUONG PHAM (NPI 1982185484) is an individual marriage & family therapist in San Diego, California, licensed in California (LMFT128739) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1982185484

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameCASSIDY PHUONG PHAM

Location Address4445 EASTGATE MALL STE 200San Diego, CA 92121-1979

Mailing Address1917 W Red Fox RdSanta Ana, CA 92704-7159 · (714) 519-6408

Phone(866) 478-3978

Sole ProprietorNo

Enumeration DateAugust 23, 2018

Last NPPES UpdateApril 7, 20238 updates tracked since enumeration

NPPES CertifiedApril 7, 2023

✔ NPI 1982185484 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

Licenses✔ Licensed in CA · LMFT128739✔ Licensed in CA · AMFT107039

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.

4445 EASTGATE MALL STE 200, San Diego, CA 92121

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cassidy Phuong Pham is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 18

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

ALANYA VAENE LEE PH.D.

Psychologist