Mary Ellen Phalon, LMFT

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

50814 Issued in CA

Practice address

2930 Camino Diablo
Suite 310-C
Walnut Creek, CA 94597-3986

Phone

(925) 322-9305

NPI assigned

Dec 27, 2013

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1388102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388102400000",
    "number": "1245651868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3464",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945980464",
            "telephone_number": "925-322-9305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2930 CAMINO DIABLO",
            "address_2": "SUITE 310-C",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945973986",
            "telephone_number": "925-322-9305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHALON",
        "first_name": "MARY",
        "middle_name": "ELLEN",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-27",
        "last_updated": "2013-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "50814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacey Elizabeth Petrowsky, MA, LMFT
• David Lewis Pfeifer
• Elizabeth Pfeiffer
• Jessica Rachel Pfisterer, AMFT
• Stephanie Phalip, M.D.
• Binh Pham, RPH
• Kim Pham, PHARMD
• Mai T Pham
• Peter Hong Phuc Pham
• Randolph Pham

• Mental Health Counselor in Walnut Creek, CA
• Providers in Walnut Creek, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2013; 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.