Anthony Thanh Phan

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

8 Delay St
Danbury, CT 06810-6654

Phone

(203) 797-8330

Fax

(203) 798-8410

NPI assigned

Sep 19, 2013

Sex

Male

Sole proprietor

No

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

Enrolled in CT

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Interoperability endpoints

• Direct secure messaging: anthony.phan@chcict.eclinicaldirectplus.com

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.

• Newtown Youth and Family Services, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Sandy Hook, CT
  • NPI 1114015211
  NPD (past)

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

{
    "created_epoch": "1379548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692144000000",
    "number": "1982030144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 OVEN ROCK RD",
            "city": "BETHEL",
            "state": "CT",
            "postal_code": "068012306",
            "telephone_number": "917-930-3689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 DELAY ST",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068106654",
            "telephone_number": "203-797-8330",
            "fax_number": "203-798-8410"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15 Berkshire Rd",
            "address_purpose": "LOCATION",
            "city": "Sandy Hook",
            "state": "CT",
            "postal_code": "064821361",
            "country_code": "US",
            "telephone_number": "203-270-4335",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHAN",
        "first_name": "ANTHONY",
        "middle_name": "THANH",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-09-19",
        "last_updated": "2023-08-16",
        "certification_date": "2023-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jane Veronica Petroff, M.D.
• Carly Petronella
• Philip Petrosky
• Janette Petrovich, PTA
• John Pezzimenti, M.D.
• Johnny Minh Phan
• Mikelanne Christine Phaneuf, R.D.
• Jillian T Philbin, MSN, APRN, NP-C
• Willem Reece Philibert
• Danielle S Phillip-Journal, MD

• Mental Health Counselor in Danbury, CT
• Providers in Danbury, CT by specialty
• Mental Health Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.