Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Stephanie Phan, PSYD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1114579687

Dr. Stephanie Phan, PSYD is a Clinical Psychologist in Carmichael, California. Qualified in 2019, 7 years ago. Works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in California and Hawaii.

Years since qualifying
7
Licensed in
CA, HI
In the registry since
2019
Specialties on file
3
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Carmichael, CA

No coordinates on file. Search this address in Google Maps

Additional practice locations (1)

  • 1001 Potrero Ave Rm 7g9, San Francisco, CA 94110-3518 — (415) 206-8925

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PSY-2051 (HI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Clinical Psychologist Taxonomy 103TC0700X · Licence PSY32681 (CA)

Record details

NPI number1114579687
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYD
Sole proprietorNo
NPI enumeratedJuly 15, 2019
Last updated in NPPESApril 14, 2023
Certification dateApril 14, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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