TIN JOSHUA PHAM (NPI# 1356823637) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356823637 |
| Entity Type | Individual |
| Full Name | TIN JOSHUA PHAM |
| Practice Address |
1860 Walnut St. Suite A Red Bluff CA 96080-3611 |
| Mailing Address |
Po Box 400 Red Bluff CA 96080-0400 |
| Practice Telephone | 5305275631 |
| Practice Fax Number | 5305270232 |
| Mailing Telephone | 5305275631 |
| Mailing Fax Number | 5305270232 |
| Enumeration Date | 2018-09-03 |
| Last Update Date | 2018-09-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TH0100X |
Psychologist Specialization: Health Service |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225664121 | Tin Thanh Pham | Student in an Organized Health Care Education/Training Program | 720 W Oak St Ste 201, Kissimmee, FL 34741-4998 | 2020-03-23 |
| 1649511106 | Tin Trung Pham | Physical Therapist | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2013-03-08 |
| Street Address |
1860 WALNUT ST. SUITE A |
| City | RED BLUFF |
| State | CA |
| Zip Code | 96080-3611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578912408 | Gillian Lilo Prothro | Registered Nurse | 1425 Montgomery St., Red Bluff, CA 96080 | 2016-06-10 |
| 1154739373 | Gisela Vazquez Sandoval | Counselor | 818 Walnut St, Red Bluff, CA 96080 | 2014-07-31 |
| 1215348883 | Courtney Cathleen Coenen | Non-emergency Medical Transport (VAN) | 320 Michael Drive, Red Bluff, CA 96080 | 2014-05-16 |
| 1023451986 | Nhuha Thi Le | Registered Nurse | 1860 B Walnut St, Red Bluff, CA 96080 | 2013-04-10 |
| 1184991580 | Maria Arendina Los | Registered Nurse | 818 Main Street, Tehama County Health Services Agency, Red Bluff, CA 96080 | 2011-11-30 |
| 1558682195 | Metasebia Bekele | Physician Assistant | 1850 Walnut Street, Red Bluff, CA 96080 | 2010-06-17 |
| 1821314238 | Cynthia Louise Funderburk | Nurse's Aide | 1860 B Walnut Street, Red Bluff, CA 96080 | 2010-04-09 |
| 1285865485 | Phillip John Velador Jr. | Licensed Vocational Nurse | 1860b Walnut Street, Red Bluff, CA 96080 | 2009-08-05 |
| 1609010347 | Lori Kay Mccaughey | Registered Nurse | 1860b Walnut St, Red Bluff, CA 96080 | 2009-04-24 |
| 1467668616 | Tehama County Health Services Agency - Mental Health Division | Clinic/Center | 1860 Walnut Street, Suite A, B, D and J, Red Bluff, CA 96080 | 2007-05-15 |
| Find all providers in zip 96080 | ||||
| Taxonomy Code | 103TH0100X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Health Service |
| A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974). |
| Notes: Source: National Register of Health Service Providers in Psychology website http://www.nationalregister.org/about_NR.html [7/1/2006: modified title, added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801497607 | Michael J Hurtado | Psychologist | 5597 W Vartikian Ave, Fresno, CA 93722-3145 | 2020-11-06 |
| 1396374054 | Mark A Amparo | Psychologist | 5222 Balboa Ave Ste 33, San Diego, CA 92117-6953 | 2020-04-05 |
| 1043844459 | Nickolas Sloan Huston | Psychologist | 2371 W Main St Spc 57, Barstow, CA 92311-3614 | 2020-02-24 |
| 1366080418 | Denise Cherelle Rollins | Psychologist | 8619 Culpepper Dr, Sacramento, CA 95823-7658 | 2019-12-18 |
| 1124671136 | Ivan Butrus | Psychologist | 1516 Granite Hills Dr # Drb, El Cajon, CA 92019-5300 | 2019-07-18 |
| 1821659517 | Teresa Malyka Cheam | Psychologist | 301 The City Drive, Orange, CA 92868-3205 | 2019-06-24 |
| 1629633755 | Rans Shaaya | Psychologist | 520 Ballard St, El Cajon, CA 92019-2124 | 2019-05-03 |
| 1184102238 | Ashley Jean Parker | Psychologist | 3575 Ridgewood Rd, Willits, CA 95490-9787 | 2018-08-01 |
| 1376039438 | Azia Brown | Psychologist | 365 Talbot Ave Apt M15, Pacifica, CA 94044-2667 | 2018-07-02 |
| 1639566953 | John Gutierrez | Psychologist | 3281 Ledgewood Circle, Riverside, CA 92503 | 2015-04-24 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.