Georgina Phelps, OTD, OTR/L

Primary specialty

Mental Health Occupational TherapistTaxonomy code 225XM0800X

License

4581 Issued in CA

Practice address

2001 River Ave
Long Beach, CA 90810-3622

Phone

(626) 372-5651

NPI assigned

Oct 19, 2020

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

Electronic endpoints 2

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": "1603065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603065600000",
    "number": "1619576832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 MERIDIAN AVE",
            "city": "SOUTH PASADENA",
            "state": "CA",
            "postal_code": "910303139",
            "telephone_number": "626-372-5651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 RIVER AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908103622",
            "telephone_number": "626-372-5651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHELPS",
        "first_name": "GEORGINA",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-19",
        "last_updated": "2020-10-19",
        "certification_date": "2020-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XM0800X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Mental Health",
            "state": "CA",
            "license": "4581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "LongBeach",
            "affiliation": "N",
            "address_1": "2001 River Ave",
            "city": "Long Beach",
            "state": "CA",
            "country_code": "US",
            "postal_code": "908103622",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "LongBeach",
            "affiliation": "N",
            "address_1": "2001 River Ave",
            "city": "Long Beach",
            "state": "CA",
            "country_code": "US",
            "postal_code": "908103622",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Van Thi-Kim Phan, DDS
• Vananh Phan, PHARMD
• Sovannaroth Phang, PHARMD
• Sokthea Phay
• Sokha Phe, NURSE PRACTITIONER
• Maura Elizabeth Phelps, MT-BC
• Paula Jean Phelps, LCSW
• Ismael Pheng
• Phi Phnom Pharmacy Inc
• Phi Phnom Pharmacy Inc

• Mental Health Occupational Therapist in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Mental Health Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2020; 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.