Active NPI
Allen Vu Phan, MD
- Psychiatry Physician
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MD471372
- Practice address
- 230 N Broad St
Philadelphia, PA 19102-1121 - Phone
- (215) 762-7000
- NPI assigned
- Jun 12, 2018
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MD471372 | PA | Primary |
Addresses
Primary practice location
230 N Broad St
Philadelphia, PA 19102-1121
Mailing address
1616 Pine St Apt A2
Philadelphia, PA 19103-2516
Other practice location 1
1500 Lansdowne Ave
Darby, PA 19023-1200
Phone (610) 237-4210
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Virginia Tech Carilion School of Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1420 Willow Pass Rd
Concord, CA 94520-5823
Phone (925) 646-5480
2523 El Portal Dr
San Pablo, CA 94806-3305
Phone (510) 215-3730
Hospital & facility affiliations
- Contra Costa Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Behavioral Health | Current | Accepting new patients | |
| Contra Costa County | Current | Accepting new patients | |
| Contra Costa County | Current | Accepting new patients | |
| Contra Costa County | Past | Accepting new patients |
Locations
2523 El Portal Dr
Ste 206
San Pablo, CA 94806
Phone (510) 215-3730
1100 Powell St
Norristown, PA 19401
Phone (484) 806-2012
Interoperability endpoints
- aphan2361164@direct.trinity-health.org
Organizations & group practices 4
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.
-
- Adult Mental Health Clinic/Center
- San Pablo, CA
- NPI 1376620336
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Norristown, PA
- NPI 1568567071
-
- General Acute Care Hospital
- Martinez, CA
- NPI 1386719086
-
- Adult Mental Health Clinic/Center
- Concord, CA
- NPI 1023188489
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Martinez, CA
- NPI 1386719086
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675209600000",
"number": "1053804393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1616 PINE ST APT A2",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191032516"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "230 N BROAD ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191021121",
"telephone_number": "215-762-7000"
}
],
"practiceLocations": [
{
"address_1": "1500 Lansdowne Ave",
"address_purpose": "LOCATION",
"city": "Darby",
"state": "PA",
"postal_code": "190231200",
"country_code": "US",
"telephone_number": "610-237-4210",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PHAN",
"first_name": "ALLEN",
"middle_name": "VU",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-06-12",
"last_updated": "2023-02-01",
"certification_date": "2023-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "PA",
"license": "MD471372",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.