Van T Pham, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

7186 Issued in OH

Practice address

2751 O'Varsity Way
Cincinnati, OH 45221-5218

Phone

(513) 558-7700

Fax

(513) 558-5055

NPI assigned

Aug 26, 2014

Last updated

Sep 23, 2024By the provider in NPPES

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

Enrolled in OH

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

Specialty

Clinical Psychologist

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Legacy Psychological Services, LLCGroup PAC ID 9638196785, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Legacy Psychological Services, LLC

  • Clinical Psychologist
  • Cincinnati, OH
  • NPI 1346267820
  Medicare reassignment Care Compare group NPD
• University of Cincinnati Physicians Company, LLC

  • Family Medicine Physician
  • Cincinnati, OH
  • NPI 1801840434
  Medicare reassignment NPD
• University of Cincinnati Medical Center, LLC

  dba University Hospital APN Services

  • Nurse Practitioner
  • Cincinnati, OH
  • NPI 1255352068
  NPD
• University Surgical-Dental Associates, LLC

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Cincinnati, OH
  • NPI 1649241787
  NPD (past)

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

{
    "created_epoch": "1409011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1184024218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 636256",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452636256",
            "telephone_number": "513-585-6200",
            "fax_number": "513-245-3672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2751 O'VARSITY WAY",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452215218",
            "telephone_number": "513-558-7700",
            "fax_number": "513-558-5055"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7105 Hamilton Ave",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452315218",
            "country_code": "US",
            "telephone_number": "513-522-0777",
            "fax_number": "513-522-4577",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHAM",
        "first_name": "VAN",
        "middle_name": "T",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-26",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "7186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Ann Pham, MD
• Dan Kim Pham, MD
• Nhat Minh Pham, DO
• Steven Viet Pham, M.D.
• Teresa Pham, OD
• Grace P Phan, RPH
• Nhat Long Nguyen Phan, PHARMD
• Oanh Phan, RPH
• Phuong Thi Phan
• Vivian Phan, DPT

• Clinical Psychologist in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Clinical Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; 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.

Verify at the official NPI Registry.