Active NPI
Carolyn T Phu, PSY.D.
- Counseling Psychologist
- San Francisco, CA
National Provider Identifier
1023597226
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- Practice address
- 721 Monterey Blvd
San Francisco, CA 94127-2221 - Phone
- (925) 646-5468
- NPI assigned
- Aug 8, 2018
- Reactivated
- May 17, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | Primary |
Addresses
Primary practice location
721 Monterey Blvd
San Francisco, CA 94127-2221
Mailing address
721 Monterey Blvd
San Francisco, CA 94127-2221
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| First Steps for Kids, Inc. | Past | Accepting new patients | |
| Firststeps for Kids | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Early Intervention Provider Agency
- Walnut Creek, CA
- NPI 1083089130
-
- Early Intervention Provider Agency
- Walnut Creek, CA
- NPI 1194197657
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788739200000",
"number": "1023597226",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "721 MONTEREY BLVD",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941272221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "721 MONTEREY BLVD",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941272221",
"telephone_number": "925-646-5468"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHU",
"first_name": "CAROLYN",
"middle_name": "T",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-08",
"last_updated": "2026-09-07",
"certification_date": "2026-09-07",
"deactivation_date": "2023-04-26",
"reactivation_date": "2023-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.