Thao Mai Phan, M.A, M.S.

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

200993 Issued in TX

Practice address

14101 W Hwy 290
Suite 700a
Austin, TX 78737-9330

Phone

(512) 650-3925

NPI assigned

May 15, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts, Master of Science

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318204800000",
    "number": "1093921488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14101 W HWY 290 STE 700A",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787379330",
            "telephone_number": "512-650-3925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14101 W HWY 290",
            "address_2": "SUITE 700A",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787379330",
            "telephone_number": "512-650-3925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAN",
        "first_name": "THAO",
        "middle_name": "MAI",
        "credential": "M.A, M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-15",
        "last_updated": "2011-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "200993",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "61700",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angelina Phan
• Huy Thanh Hoang Phan, MD
• Julie Phan, OD
• Justin Phan
• Megan Elizabeth Phan
• Timothy Phan, PHARM.D
• Vincent T Phan
• Mary Evans Pharis, PH.D.
• Matthew Pharis, P.A.
• Pharmacist on Demand LLC

• Marriage & Family Therapist in Austin, TX
• Providers in Austin, TX by specialty
• Marriage & Family Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.