AMY JEAN PHAN (NPI# 1053874164) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053874164 |
| Entity Type | Individual |
| Full Name | AMY JEAN PHAN |
| Practice Address |
7941 Castleway Dr Indianapolis IN 46250-1953 |
| Practice Telephone | 2604989358 |
| Practice Fax Number | 8882012719 |
| Mailing Telephone | 2604989358 |
| Mailing Fax Number | 8882012719 |
| Enumeration Date | 2019-04-08 |
| Last Update Date | 2019-04-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417595810 | Amy Phan | Pharmacist | 6840 Lincoln Ave, Riverside, CA 92506-4256 | 2019-12-16 |
| 1356622559 | Amy Phan | Pharmacist | 103 S Orange Ave, Green Cove Springs, FL 32043-4127 | 2011-08-31 |
| Street Address |
7941 CASTLEWAY DR |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46250-1953 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033680939 | Barbara Elaine Mcdannell | Social Worker | 7941 Castleway Dr, Indianapolis, IN 46250-1953 | 2018-12-17 |
| 1043819055 | Shena Wheaton | Counselor | 7941 Castleway Dr, Indianapolis, IN 46250-1953 | 2020-10-21 |
| 1992304307 | Heather Alexander | Counselor | 7941 Castleway Dr, Indianapolis, IN 46250-1953 | 2020-10-19 |
| 1902403439 | Rhonda Collins | Counselor | 7941 Castleway Dr, Indianapolis, IN 46250-1953 | 2020-10-07 |
| 1467064535 | Zachary Shultz | Counselor | 7941 Castleway Dr, Indianapolis, IN 46250-1953 | 2020-08-20 |
| 1205447232 | Alyssa Roe | Counselor | 7941 Castleway Dr, Indianapolis, IN 46250-1953 | 2020-08-13 |
| 1104446038 | Brittany Latrice Joiner | Counselor | 7941 Castleway Dr, Indianapolis, IN 46250-1953 | 2020-04-21 |
| 1174142491 | Shauna R Smith | Counselor | 7941 Castleway Dr, Indianapolis, IN 46250-1953 | 2020-04-16 |
| 1669001848 | Nancy Marie Scott | Counselor | 7941 Castleway Dr, Indianapolis, IN 46250-1953 | 2020-04-08 |
| 1396374518 | Rebecca Diane Anderson | Social Worker | 7941 Castleway Dr, Indianapolis, IN 46250-1953 | 2020-04-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861037004 | Angela L Davis | Pharmacist | 8520 Bash St, Indianapolis, IN 46250 | 2019-11-12 |
| 1710455738 | Physicians Wellness Associates LLC | Family Medicine | 4735 Statesmen Drive, Suite C, Indianapolis, IN 46250 | 2018-11-07 |
| 1891222584 | Confidential Drug LLC | Pharmacy | 8520 Bash St Ste D, Indianapolis, IN 46250 | 2017-05-12 |
| 1659813590 | Occupational Health Centers of The Southwest Pa | Clinic/Center | 8257 Center Run Rd, Indianapolis, IN 46250 | 2016-11-09 |
| 1194275669 | Lucina Treatment Center, LLC | Internal Medicine | 8140 Castleton Rd, Indianapolis, IN 46250 | 2016-10-09 |
| 1609126150 | Joseph Lee Deck | Physical Therapist | 7400 Jewel Lane, Indianapolis, IN 46250 | 2012-09-12 |
| 1447508254 | Choices Coordinated Care Solutions, Inc. | Clinic/Center | 7941 Castleway Drive, Indianapolis, IN 46250 | 2012-08-28 |
| 1568719854 | Lynda L. Blackwelder, LLC | Marriage & Family Therapist | 4735 Statesmen Dr., Suite A, Indianapolis, IN 46250 | 2012-08-06 |
| 1972859452 | Courtney B. Cortez | Nurse Practitioner | 12400 N Meridian Ste 100, Suite 500, Indianapolis, IN 46250 | 2012-08-02 |
| 1861761934 | Kb Medical, Inc. | Durable Medical Equipment & Medical Supplies | 8455, Castlewood Drive, Suite J, Idianapolis, IN 46250 | 2011-12-20 |
| Find all providers in zip 46250 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477153914 | Beverli D Mason | Counselor | 10231 Chris Dr, Indianapolis, IN 46229-1875 | 2020-10-26 |
| 1376150656 | Shelia Hall | Counselor | 7422 Carnation Ln, Indianapolis, IN 46214-1066 | 2020-09-30 |
| 1205443090 | Laura Oliver | Counselor | 2274 Valley Creek Way, Indianapolis, IN 46229-1932 | 2020-09-26 |
| 1932714185 | Thrive Counseling Services, LLC | Counselor | 3750 Kentucky Avenue, Indianapolis, IN 46221-2700 | 2020-09-14 |
| 1033735055 | Luv Taylor | Counselor | 4117 Village Trace Blvd, Indianapolis, IN 46254-6222 | 2020-06-25 |
| 1366067159 | Amdaway Ibrahim | Counselor | 4013 Baker Dr, Indianapolis, IN 46235-1573 | 2020-06-08 |
| 1326661836 | Bridge Clinics | Counselor | 3702 E 10th St, Indianapolis, IN 46201-2554 | 2020-05-19 |
| 1457973380 | Anita J Adams | Counselor | 5218 Cornelius Ave, Indianapolis, IN 46208-2512 | 2020-05-14 |
| 1821610213 | Tiffany Lynette Thompson | Counselor | 4308 Ansar Ln, Indianapolis, IN 46254-3128 | 2020-05-08 |
| 1114549615 | Courtney Terrell | Counselor | 1118 N Audubon Rd, Indianapolis, IN 46219-3116 | 2020-05-07 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46250 |
Please comment or provide details below to improve the information on AMY JEAN PHAN.
| 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.