Van Pham (NPI# 1184024218, PAC ID# 8820311145) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHOLOGIST, CLINICAL.
| Nation Provider ID (NPI) | 1184024218 |
| PAC ID by PECOS | 8820311145 |
| Professional Enrollment ID | I20141217002138 |
| Full Name | Van Pham |
| Organization Legal Name | LEGACY PSYCHOLOGICAL SERVICES, LLC |
| Address |
5343 Hamilton Ave Cincinnati OH 45224-3130 |
| Phone Number | 5138532000 |
| Gender | F |
| Graduation Year | 2012 |
| Primary Specialty | PSYCHOLOGIST, CLINICAL |
| Group Practice PAC ID | 9638196785 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 5343 Hamilton Ave, Cincinnati, OH 45224-3130 | 5138532000 | LEGACY PSYCHOLOGICAL SERVICES, LLC |
| 7105 Hamilton Ave, Cincinnati, OH 45231-5218 | 5135220777 | LEGACY PSYCHOLOGICAL SERVICES, LLC |
| 7300 Dearwester Dr, Cincinnati, OH 45236-6119 | 5139249400 | LEGACY PSYCHOLOGICAL SERVICES, LLC |
| 8097 Hamilton Ave, Cincinnati, OH 45231-2321 | 5139315000 | LEGACY PSYCHOLOGICAL SERVICES, LLC |
| 9840 Montgomery Rd, Cincinnati, OH 45242-6255 | 5132471300 | LEGACY PSYCHOLOGICAL SERVICES, LLC |
| Organization Legal Name | LEGACY PSYCHOLOGICAL SERVICES, LLC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jerome Gabis | Psychologist, Clinical | Legacy Psychological Services, LLC | 5647 Cedar Village Dr, Mason, OH 45040 |
| Deborah A Benedict | Clinical Social Worker | Legacy Psychological Services, LLC | 7105 Hamilton Ave, Cincinnati, OH 45231-5218 |
| Victoria S Becker | Psychologist, Clinical | Legacy Psychological Services, LLC | 7105 Hamilton Ave, Cincinnati, OH 45231-5218 |
| Babette Craig | Psychologist, Clinical | Legacy Psychological Services, LLC | 7105 Hamilton Ave, Cincinnati, OH 45231-5218 |
| Catherine Rand | Psychologist, Clinical | Legacy Psychological Services, LLC | 7105 Hamilton Ave, Cincinnati, OH 45231-5218 |
| Street Address |
5343 HAMILTON AVE |
| City | CINCINNATI |
| State | OH |
| Zip | 45224-3130 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael Justin | Internal Medicine | North College Hill Internal | 1577 Goodman Ave, Cincinnati, OH 45224-1004 |
| Raha M Powell | Nurse Practitioner | North College Hill Internal | 1577 Goodman Ave, Cincinnati, OH 45224-1004 |
| Jacqueline M Schmidt | Nurse Practitioner | North College Hill Internal | 1577 Goodman Ave, Cincinnati, OH 45224-1004 |
| Charles B Hafele | Chiropractic | 6527 Hamilton Ave, Cincinnati, OH 45224-1029 | |
| Philip James Poon | Ophthalmology | Tri-state Centers for Sight Inc | 1577 Goodman Ave B, Cincinnati, OH 45224-1044 |
| Bryan V Fallis | Podiatry | 1577 Goodman Ave, Suite A, Cincinnati, OH 45224-1044 | |
| Sean P Davitt | Ophthalmology | Tri-state Centers for Sight Inc | 1577 Goodman Ave, Suite B, Cincinnati, OH 45224-1044 |
| Waymon Leland Wallace | Internal Medicine | 1577 Goodman Ave, Suite A, Cincinnati, OH 45224-1044 | |
| Terry R Leach | Optometry | Tri-state Centers for Sight Inc | 1577 Goodman Ave, Suite B, Cincinnati, OH 45224-1044 |
| Anthereca Lane | Obstetrics/gynecology | 891 W N Bend Rd, Cincinnati, OH 45224-1340 | |
| Find all physicians in zip 45224 | |||
| City | CINCINNATI |
| Zip Code | 45224 |
| Specialty | PSYCHOLOGIST, CLINICAL |
| City + Specialty | CINCINNATI + PSYCHOLOGIST, CLINICAL |
Please comment or provide details below to improve the information on Van Pham.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.