Minh Phan

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

7441 Bartlett St NE Ste 1B
Albuquerque, NM 87109-5916

Phone

(505) 313-6732

NPI assigned

Apr 22, 2025

Sex

Male

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)

Not enrolled

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.

• Movement Psychotherapy Services LLC

  • Community/Behavioral Health Agency
  • Albuquerque, NM
  • NPI 1942080114
  NPD

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

{
    "created_epoch": "1745280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745280000000",
    "number": "1326835331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1855 SMARTY JONES ST SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871232398",
            "telephone_number": "505-313-6732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7441 BARTLETT ST NE STE 1B",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871095916",
            "telephone_number": "505-313-6732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAN",
        "first_name": "MINH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-04-22",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thu Anh Pham, D.O
• Tienanh Pham, DO
• Dai Chinh Phan, DDS, MS
• Jacqueline Phan
• Loan Phan, PHD
• Nhut Minh Phan, PMSW
• Sheshanna Nguyen Phuong Khanh Phan, DO
• Vyvian Phan, LCSW
• Carol Phares, OTR
• Pharmacy Capital LLC

• All providers in Albuquerque, NM
• Community Health Worker in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2025; 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.