Marcie Beasley Pham, MA

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

47715 Issued in CA

Practice address

1001 Dove St Ste 105
Newport Beach, CA 92660-2838

Phone

(949) 877-4872

NPI assigned

Dec 15, 2006

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

Opted out of Medicare

Yes, effective Jan 1, 2024 through Jan 1, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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.

• Marcie Beasley Pham LMFT, a Marriage and Family Therapy Professional

  • Marriage & Family Therapist
  • Newport Beach, CA
  • NPI 1235769035
  NPD Authorized official

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611705600000",
    "number": "1497817316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 DOVE ST STE 105",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602838",
            "telephone_number": "949-877-4872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 DOVE ST STE 105",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602838",
            "telephone_number": "949-877-4872"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "260 Newport Center Dr",
            "address_2": "Suite 302",
            "address_purpose": "LOCATION",
            "city": "Newport Beach",
            "state": "CA",
            "postal_code": "926607520",
            "country_code": "US",
            "telephone_number": "949-877-4872",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHAM",
        "first_name": "MARCIE",
        "middle_name": "BEASLEY",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-15",
        "last_updated": "2021-01-27",
        "certification_date": "2021-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "47715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Q Pham, PHARM.D.
• Hali Hoang Pham, FNP
• Kathleen Pham, R.D.
• Ken Vinh Pham, DPT
• Larry D Pham, M.D.
• Nguyen Phuong Tra Pham
• Quynh Pham
• Ryan Duy Pham
• Thang Pham, MD
• To Pham, MD

• Marriage & Family Therapist in Newport Beach, CA
• Providers in Newport Beach, 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 Jan 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.