Alicia Cherie Pharis

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

80416 Issued in CA

Practice address

530 Plaza Dr Ste 130
Folsom, CA 95630-4782

Phone

(530) 558-9441

NPI assigned

Jun 19, 2018

Last updated

Jun 19, 2018By the provider in NPPES

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

Other identifiers 1

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

Specialty

Marriage and Family Therapist

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Dana Young Therapy Inc

  • Marriage & Family Therapist
  • Folsom, CA
  • NPI 1508640335
  NPD (past)

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

{
    "created_epoch": "1529366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529366400000",
    "number": "1427542893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 PLAZA DR STE 130",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956304782",
            "telephone_number": "530-558-9441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 PLAZA DR STE 130",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956304782",
            "telephone_number": "530-558-9441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHARIS",
        "first_name": "ALICIA",
        "middle_name": "CHERIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-19",
        "last_updated": "2018-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "80416",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6355",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly Kay Peth, SLPA SPA2417
• Jennifer Pettus
• Phaedrus Consulting, LLC (New Planes)
• Hanh Thi Pham, D.D.S.
• Tiffany H Phan, OD, FAAO
• Aida S. Phelan, M.D.
• Timothy Edwin Phelan, M.D.
• Tracy Phelps
• Julie Ann Huat Phenco, M.D.
• Nayah Phetdara

• Marriage & Family Therapist in Folsom, CA
• Providers in Folsom, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2018; 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.