Phuc Ha Phuong Nguyen, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

RN2326473 Issued in MA

Practice address

1017 Turnpike St Ste 33
Canton, MA 02021-2856

Phone

(781) 236-7343

Fax

(781) 806-1026

NPI assigned

May 23, 2024

Sex

Female

Sole proprietor

Yes

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 MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

First-Class Behavioral and Counseling ServicesGroup PAC ID 5395128276, 11 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 and National Provider Directory roles.

• First-Class Behavioral & Counseling Services

  • Psychiatric/Mental Health Nurse Practitioner
  • Canton, MA
  • NPI 1336870864
  Medicare reassignment Care Compare group NPD
• First Class Primary Care PLLC

  • Family Medicine Physician
  • Canton, MA
  • NPI 1104790815
  NPD

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

{
    "created_epoch": "1716422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717027200000",
    "number": "1225877632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1017 TURNPIKE ST STE 33",
            "city": "CANTON",
            "state": "MA",
            "postal_code": "020212856",
            "telephone_number": "781-236-7343",
            "fax_number": "781-806-1026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1017 TURNPIKE ST STE 33",
            "city": "CANTON",
            "state": "MA",
            "postal_code": "020212856",
            "telephone_number": "781-236-7343",
            "fax_number": "781-806-1026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "PHUC HA PHUONG",
        "name_prefix": "Mrs.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-23",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2326473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• New Hope Health Care LLC
• Wendy L Newman-Evans, O.D.
• Newton Healthcare Center
• Tammy Nghiem, PHARMD
• Bonnie Nguyen
• Wendy Ni, LAT, ATC, EMT
• Emily Nicholson, PSY.D.
• Erin Lee Nickerson, BCBA
• Regine Nicolas
• Jessica Nicole Norton, M.S., CCC-SLP

• Psychiatric/Mental Health Nurse Practitioner in Canton, MA
• Providers in Canton, MA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 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.