CASSIDY PHAM (NPI# 1982185484) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982185484 |
| Entity Type | Individual |
| Full Name | CASSIDY PHAM |
| Practice Address |
1200 N Main St Ste 300 Santa Ana CA 92701-3625 |
| Mailing Address |
326 E Acacia St Apt B Ontario CA 91761-4285 |
| Practice Telephone | 7147800750 |
| Mailing Telephone | 9093199453 |
| Enumeration Date | 2018-08-23 |
| Last Update Date | 2020-04-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | AMFT107039 | CA | Behavioral Health & Social Service Providers |
| Street Address |
1200 N MAIN ST STE 300 |
| City | SANTA ANA |
| State | CA |
| Zip Code | 92701-3625 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326128406 | Daniel James Alexander | Marriage & Family Therapist | 1200 N Main St Ste 300, Santa Ana, CA 92701-3625 | 2006-10-16 |
| 1730796822 | Beth Anne Gayle Greenberg | Licensed Psychiatric Technician | 1200 N Main St Ste 300, Santa Ana, CA 92701-3625 | 2020-09-23 |
| 1316575608 | Sabrina Mclin | Counselor | 1200 N Main St Ste 300, Santa Ana, CA 92701-3625 | 2020-03-31 |
| 1164061180 | County of Orange | Clinic/Center | 1200 N Main St Ste 300, Santa Ana, CA 92701-3625 | 2019-12-23 |
| 1689212607 | County of Orange | Clinic/Center | 1200 N Main St Ste 300, Santa Ana, CA 92701-3625 | 2019-12-20 |
| 1952942765 | Martin Dario Gonzalez | Counselor | 1200 N Main St Ste 300, Santa Ana, CA 92701-3625 | 2019-10-02 |
| 1356908099 | Liza Quynhmy Dang | Social Worker | 1200 N Main St Ste 300, Santa Ana, CA 92701-3625 | 2019-05-28 |
| 1295291086 | Jessica Hernandez | Counselor | 1200 N Main St Ste 300, Santa Ana, CA 92701-3625 | 2019-02-16 |
| 1710443866 | Paulina Serna I | Counselor | 1200 N Main St Ste 300, Santa Ana, CA 92701-3625 | 2019-02-13 |
| 1073084505 | Roberto Vega | Technician, Health Information | 1200 N Main St Ste 300, Santa Ana, CA 92701-3625 | 2018-12-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841807401 | Midori K Dirig | Psychologist | 405 W. 3rd Street, Santa Ana, CA 92701 | 2020-09-28 |
| 1952915456 | Alexandria Bekele | Counselor | Address: 405 W. 5th Street, Santa Ana, CA 92701 | 2020-09-02 |
| 1508479239 | Candice Bjorkman | Counselor | 1201 E Fruit St, Santa Ana, CA 92701 | 2020-08-24 |
| 1013527365 | Maryiam Elizabeth Barkho | Dentist | 809 South Main Street Suite B, Santa Ana, CA 92701 | 2020-08-02 |
| 1447803788 | Emmett Eugene Cook II | Counselor | 1207 E Fruit Street, Santa Ana, CA 92701 | 2019-07-16 |
| 1619538741 | Emily H Sanders | Marriage & Family Therapist | 1800-f Parkcourt Place, Suite 205, Santa Ana, CA 92701 | 2019-06-28 |
| 1184191769 | Peace of Mind Wellness & Family Counseling, Inc. | Counselor | 1651 E. Fourth St Ste 240, Santa Ana, CA 92701 | 2018-10-31 |
| 1841765815 | Kelly Marie Contreras | Clinical Medical Laboratory | 902 N. Grand Avenue, Suite 204, Santa Ana, CA 92701 | 2018-10-05 |
| 1780176537 | Diane Carol Navarro-prescott | Counselor | 1633 East 4th Street, Santa Ana, CA 92701 | 2018-06-06 |
| 1750873758 | Eileen Fernandez | Counselor | 615 W Civic Center Dr Fl 2, Santa Ana, CA 92701 | 2018-06-05 |
| Find all providers in zip 92701 | ||||
| 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 |
|---|---|---|---|---|
| 1760020911 | Benjamin Ross | Counselor | 3785 S Plaza Drive, Santa Ana, CA 92704-7463 | 2019-12-18 |
| 1962051235 | Armando Perez Navarrette Jr. | Counselor | 400 N Tustin Ave Ste 120, Santa Ana, CA 92705-3879 | 2019-09-09 |
| 1811450042 | Giovanna Marie Piazza | Counselor | 2318 Bonnie Brae, Santa Ana, CA 92706-1603 | 2019-04-14 |
| 1861908220 | Teresa Bowdry | Counselor | 1615 17th St, Suite 100, Santa Ana, CA 92705 | 2017-12-21 |
| 1952820730 | Rebecca Gabriela Terrones | Counselor | 1615 E. 17th St., Santa Ana, CA 92705 | 2017-09-13 |
| 1801313630 | Jesse Lopez | Counselor | 2130 East Fouth Street, Suite 200, Santa Ana, CA 92705 | 2017-08-23 |
| 1841710159 | Alan Olmedo | Counselor | 1615 E 17th Street, Santa Ana, CA 92705 | 2017-06-27 |
| 1740719178 | Miriam Alejandro Moreno-ortiz | Counselor | 1910 N. Bush St, Santa Ana, CA 92706 | 2017-06-08 |
| 1427407642 | Mariella I Ayllon | Counselor | 1615 E 17th St., #100, Santa Ana, CA 92705 | 2016-06-08 |
| 1518348317 | Kelly Pounds | Counselor | 2101 East First Street, Santa Ana, CA 92075 | 2015-06-17 |
| Find all providers in SANTA ANA | ||||
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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.