Individual provider Active NPI

Amber Ngoc-Thuy Tran, PH.D.

  • Psychologist
  • Folsom, CA
National Provider Identifier
1154481950
Registry record updated Sep 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY 19803 Issued in CA
Practice address
850 Iron Point Rd Ste 132
Folsom, CA 95630-9015
Phone
(916) 202-4137
NPI assigned
Dec 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY 19803 CA Primary

Addresses

Primary practice location

850 Iron Point Rd Ste 132
Folsom, CA 95630-9015

Mailing address

850 Iron Point Rd Ste 132
Folsom, CA 95630-9015
Phone (916) 202-4137

Other practice location 1

10725 International Dr
Psychiatry Department
Rancho Cordova, CA 95670-7967
Phone (916) 973-5300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121030000384 CA Practitioner - Clinical Psychologist 6507016441 Reassigns benefits to 1 organization
Practice locations: Folsom, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY 19803CAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Permanente Medical Group Inc CurrentSince Sep 9, 2012 Accepting new patients
Permanente Medical Group, Inc CurrentSince Sep 9, 2012 Accepting new patients
Amber Ngoc-Thuy Tran PHD CurrentSince Mar 18, 2020 Accepting new patients

Locations

850 Iron Point Rd
Ste 132
Folsom, CA 95630
Phone (916) 202-4137

850 Iron Point Rd
Ste 127
Folsom, CA 95630
Phone (916) 202-4137

1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015

901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500

10725 International Dr
Rncho Cordova, CA 95670
Phone (916) 631-2060

2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000

710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400

7373 West Ln
Stockton, CA 95210
Phone (209) 476-2000

1305 Tommydon St
Stockton, CA 95210
Phone (209) 476-2015

975 Sereno Dr
Vallejo, CA 94589
Phone (707) 651-1000

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599004800000",
    "number": "1154481950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 IRON POINT RD STE 132",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956309015",
            "telephone_number": "916-202-4137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 IRON POINT RD STE 132",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956309015",
            "telephone_number": "916-202-4137"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10725 International Dr",
            "address_2": "Psychiatry Department",
            "address_purpose": "LOCATION",
            "city": "Rancho Cordova",
            "state": "CA",
            "postal_code": "956707967",
            "country_code": "US",
            "telephone_number": "916-973-5300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRAN",
        "first_name": "AMBER",
        "middle_name": "NGOC-THUY",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-11",
        "last_updated": "2020-09-02",
        "certification_date": "2020-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY 19803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Folsom, CA

Sources for this page

Verify at the official NPI Registry.