Individual provider Active NPI

Irene Tung-Phan, PH.D.

  • Clinical Psychologist
  • Laguna Beach, CA
National Provider Identifier
1467855338
Registry record updated Dec 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY33938 Issued in CA
Practice address
1968 S Coast Hwy Ste 196
Laguna Beach, CA 92651-3681
Phone
(949) 357-0481
NPI assigned
Oct 6, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY33938 CA Primary

Addresses

Primary practice location

1968 S Coast Hwy Ste 196
Laguna Beach, CA 92651-3681

Mailing address

1968 S Coast Hwy Ste 196
Laguna Beach, CA 92651-3681
Phone (949) 357-0481

Other names 1

  • Irene Tung Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY33938CAMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1412553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765843200000",
    "number": "1467855338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1968 S COAST HWY STE 196",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "926513681",
            "telephone_number": "949-357-0481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1968 S COAST HWY STE 196",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "926513681",
            "telephone_number": "949-357-0481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUNG-PHAN",
        "first_name": "IRENE",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-06",
        "last_updated": "2025-12-16",
        "certification_date": "2025-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY33938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "IRENE",
            "last_name": "TUNG",
            "credential": "PHD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Laguna Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.