Amanda Pham DO Inc

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

AMANDA PHAM DO INC

Doing business as

Constellation Psychiatry Medical Clinic Inc

Practice address

19712 Macarthur Blvd Ste 110
Irvine, CA 92612-2407

Phone

(714) 702-5140

NPI assigned

Aug 19, 2025

Organization subpart

No

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

Authorized official

Name

Dr. Amanda Pham, D.O.NPI 1740641620

Title

Ceo

Phone

(714) 702-5140

Specialties & licenses 2

Addresses

Other names 1

• Constellation Psychiatry Medical Clinic Inc Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amanda Lynn Pham, D.O.

  • Child & Adolescent Psychiatry Physician
  • Santa Ana, CA
  • NPI 1740641620
  NPD Authorized official

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

{
    "created_epoch": "1755561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755561600000",
    "number": "1841177185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2913 EL CAMINO REAL # 730",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927828909",
            "telephone_number": "714-510-2474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19712 MACARTHUR BLVD STE 110",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926122407",
            "telephone_number": "714-702-5140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMANDA PHAM DO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-19",
        "last_updated": "2025-08-19",
        "certification_date": "2025-08-19",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-702-5140",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Constellation Psychiatry Medical Clinic Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alyssa Youngjee Kim MD a Prof Corp
• Amada Family Therapy LLC
• Bahman Amadi, M.D.
• Mari Amakasu
• Amana Hospice LLC
• Christopher Michael Amato, PT, DPT
• Amazing Touch Home Health Inc
• Amazing Touch Hospice Inc
• Alisha Ambe
• Shobha Ambi, MSN, RN

• Psychiatry Physician in Irvine, CA
• Providers in Irvine, CA by specialty
• Psychiatry Physician in California

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