Thuy Pham, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071-006314 Issued in IL

Practice address

5244 Lyngate Court, Suite 200
Burke, VA 22015

Phone

(703) 910-2577

Fax

(703) 661-9463

NPI assigned

Nov 22, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/aa9a3bec-4c8c-4fc5-b283-495def30e623/
• FHIR API: https://api.platform.athenahealth.com/380/brand/6/csg/181/fhir/r4
• FHIR API: https://epicmobile.presencehealth.org/fhirPRD/api/FHIR/R4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Alexian Brothers Behavioral Health Hospital

  • Psychiatric Hospital
  • Hoffman Estates, IL
  • NPI 1013017839
  NPD (past)

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712016000000",
    "number": "1144395013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5607A CALIFORNIA AVENUE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "37209",
            "telephone_number": "847-863-4975",
            "fax_number": "847-843-7393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5244 LYNGATE COURT, SUITE 200",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "22015",
            "telephone_number": "703-910-2577",
            "fax_number": "703-661-9463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAM",
        "first_name": "THUY",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-22",
        "last_updated": "2024-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071-006314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Yenhao Peng, M.D.
• People Now Health Inc.
• Natalie Perez
• Performance Health Center, PLLC
• Sylvia Perry, BCBA, LBA
• Kimberly Phillips, FNP-BC
• Nhu-Quynh Phung, D.M.D.
• Douglas David Piccolo, RPH
• Bruktawit Pierre, NP
• Lyndsy Pinchevsky, PHARMD

• Clinical Psychologist in Burke, VA
• Providers in Burke, VA by specialty
• Clinical Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2024; 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.