SELINA PHAN (NPI# 1548638364) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548638364 |
| Entity Type | Individual |
| Full Name | SELINA PHAN |
| Practice Address |
650 Clark Way Palo Alto CA 94304-2300 |
| Practice Telephone | 6503265530 |
| Mailing Telephone | 6503265530 |
| Enumeration Date | 2015-09-10 |
| Last Update Date | 2015-09-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
650 CLARK WAY |
| City | PALO ALTO |
| State | CA |
| Zip Code | 94304-2300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104939503 | Glen R. Elliott | Psychiatry & Neurology | 650 Clark Way, Palo Alto, CA 94304-2300 | 2006-08-17 |
| 1124631197 | Sarah Newman | Marriage & Family Therapist | 650 Clark Way, Palo Alto, CA 94304-2300 | 2020-08-28 |
| 1992318679 | Nicole Wdowiak | Speech-Language Pathologist | 650 Clark Way, Palo Alto, CA 94304-2300 | 2020-08-24 |
| 1003436023 | Holly Weldon | Student in an Organized Health Care Education/Training Program | 650 Clark Way, Palo Alto, CA 94304-2300 | 2020-04-20 |
| 1548889629 | Cara Marie Diclemente | Student in an Organized Health Care Education/Training Program | 650 Clark Way, Palo Alto, CA 94304-2300 | 2020-04-09 |
| 1568091791 | Lauren Adelyn Cohen | Student in an Organized Health Care Education/Training Program | 650 Clark Way, Palo Alto, CA 94304-2300 | 2020-04-08 |
| 1053942862 | Eric Loughhead | Counselor | 650 Clark Way, Palo Alto, CA 94304-2300 | 2020-01-30 |
| 1558902502 | Moran Shoham | Student in an Organized Health Care Education/Training Program | 650 Clark Way, Palo Alto, CA 94304-2300 | 2019-10-01 |
| 1235797705 | Dariah Simone Brown | Counselor | 650 Clark Way, Palo Alto, CA 94304-2300 | 2019-05-30 |
| 1174187934 | Virginia Diane Peisch | Student in an Organized Health Care Education/Training Program | 650 Clark Way, Palo Alto, CA 94304-2300 | 2019-04-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477170611 | Richard Engdahl | Specialist/Technologist, Other | 820 Quarry Road, Mc1078 Hf006, Palo Alo, CA 94304 | 2020-07-04 |
| 1720603582 | Lily Wenya Zhou | Psychiatry & Neurology | 780 Welch Road, Suite 350, Stanford Stroke Center, Palo Alto, CA 94304 | 2020-06-08 |
| 1033738521 | Perry Seo Choi | Student in an Organized Health Care Education/Training Program | Dept of Cardiothoracic Surgery, Falk Building, 870 Quarry Rd, Palo Alto, CA 94304 | 2020-04-14 |
| 1073150355 | Tara Mcdermott | Nurse Practitioner | 500 Pasteur Drive, Cardiovascular Intensive Care Unit, Palo Alto, CA 94304 | 2019-12-05 |
| 1811542723 | Mark Henry Chubb | Pediatrics | Stanford Children's Health, 725 Welch Road, Palo Alto, CA 94304 | 2019-08-07 |
| 1194285114 | Cora Steindl | Nurse Practitioner | 300 Pasteur Drive Rm H2512, Stanford, CA 94304 | 2019-03-25 |
| 1407333057 | Deborah Menet Landi | Social Worker | Lucile Packard Children's Hospital Stanford, 725 Welch, Mc 5933, Palo Alto, CA 94304 | 2018-07-26 |
| 1982100798 | Jonathan Hootman | Student in an Organized Health Care Education/Training Program | 900 Quarry Road Extension, Palo Alto, CA 94304 | 2018-04-02 |
| 1093234254 | Adam C Maclellan | Psychiatry & Neurology | Stanford Stroke Center, 780 Welch Road, Suite 350, Palo Alto, CA 94304 | 2017-09-19 |
| 1194248153 | Chanel Beaudoin Cloutier | Plastic Surgery | 770 Welch Road, Suite 400, Palo Alto, CA 94304 | 2017-07-21 |
| Find all providers in zip 94304 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174892806 | Shelly Sarig Nadav | Counselor | 467 Hamilton Ave. Suite 25, Palo Alto, CA 94301 | 2011-12-27 |
| 1184883894 | Naina Sodhi | Counselor | 230 N California Ave, Palo Alto, CA 94301-3913 | 2008-06-06 |
| 1700087277 | Carole A Cassidy | Counselor | 230 N California Ave Ste 200, Palo Alto, CA 94301-3913 | 2007-05-30 |
| 1043317795 | Caminar | Counselor | 375 Cambridge Ave, Palo Alto, CA 94306 | 2006-09-17 |
| 1548731284 | Mariah Chew | Counselor | 650 Clark Way, Palo Alto, CA 94304-2300 | 2018-12-06 |
| 1700323532 | Adriana Ruiz | Counselor | 650 Clark Way, Palo Alto, CA 94304-2300 | 2017-01-31 |
| 1841734316 | Armando Leon Lomeli | Counselor | 650 Clark Way, Palo Alto, CA 94304-2300 | 2016-12-18 |
| 1467909085 | Elaine Depadua | Counselor | 3801 Miranda Ave, Palo Alto, CA 94304-1207 | 2016-09-01 |
| 1932563871 | Ethel Mostrel | Counselor | 415 Cambridge Ave, Suite 7, Palo Alto, CA 94306-1600 | 2016-04-06 |
| 1396114617 | Nicole Moreland | Counselor | 375 Cambridge Ave, Palo Alto, CA 94306 | 2015-09-16 |
| Find all providers in PALO ALTO | ||||
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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.