Thuy-Phuong DO, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY31042 Issued in CA

Practice address

2726 Shelter Island Dr # 365
San Diego, CA 92106-2731

Phone

(619) 609-7722

Fax

(858) 221-8565

NPI assigned

Sep 4, 2012

Last updated

Jul 1, 2021By 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 3

Addresses

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

Clinical Psychologist

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Advanced TMS Clinic Inc

  • Clinic/Center
  • National City, CA
  • NPI 1386104263
  NPD
• Community Behavioral Health Solutions, Inc

  dba dba Confidential Recovery

  • Substance Abuse Rehabilitation Facility
  • San Diego, CA
  • NPI 1841699352
  NPD (past)
• Positive Psychology Inc.

  • Psychologist
  • San Diego, CA
  • NPI 1073927588
  NPD (past)
• Stephanie L. Sanders, Licensed Clinical Social Worker, Inc.

  • Clinical Social Worker
  • San Diego, CA
  • NPI 1215409057
  NPD (past)
• Tubi Connect Inc.

  dba White Ink Clinic

  • Adult Mental Health Clinic/Center
  • La Jolla, CA
  • NPI 1659919140
  NPD (past)

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

{
    "created_epoch": "1346716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625097600000",
    "number": "1649529819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2726 SHELTER ISLAND DR # 365",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921062731",
            "telephone_number": "619-609-7722",
            "fax_number": "858-221-8565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2726 SHELTER ISLAND DR # 365",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921062731",
            "telephone_number": "619-609-7722",
            "fax_number": "858-221-8565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DO",
        "first_name": "THUY-PHUONG",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-04",
        "last_updated": "2021-07-01",
        "certification_date": "2021-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "PSY31042",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY31042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryanew Hill DO
• Tai Anh DO, MD
• Tess Ariel DO
• Thomas DO, M.D.
• Thomas Quang DO, PSY.D.
• Toan DO
• Van DO, PHARMD
• Veena Minh DO, MD
• Doan Doan and Tran Dental PC (San Diego Dental Group)
• Crystal Thanh Doan Stephens, MD

• Clinical Psychologist in San Diego, CA
• Providers in San Diego, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2021; 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.