TIFFANY P PHAN (NPI# 1669723466) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669723466 |
| Entity Type | Individual |
| Full Name | TIFFANY P PHAN |
| Credential | BHRS |
| Practice Address |
3515 S Pennsylvania Ave Oklahoma City OK 73119-2100 |
| Mailing Address |
5905 Saint James Pl Oklahoma City OK 73179-7911 |
| Practice Telephone | 4054269926 |
| Practice Fax Number | 4055852465 |
| Mailing Telephone | 4054269926 |
| Mailing Fax Number | 4055852465 |
| Enumeration Date | 2012-09-20 |
| Last Update Date | 2012-09-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396286381 | Tiffany Ngoc Phan | Behavior Technician | 6008 Crater Lake Dr, Roseville, CA 95678-1970 | 2017-03-10 |
| 1588174395 | Tiffany H Phan | Optometrist | 2155 Iron Point Rd, Folsom, CA 95630-8707 | 2017-10-06 |
| 1487959433 | Tiffany Phan | Student in an Organized Health Care Education/Training Program | 4150 V St # 1110, Sacramento, CA 95817-1460 | 2011-01-24 |
| Street Address |
3515 S PENNSYLVANIA AVE |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73119-2100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376064592 | Focus Optical Inc. | Technician/Technologist | 12444 Nw 10th St, Bldg H Ste 101, Oklahoma City, OK 73119 | 2017-06-28 |
| 1730561176 | Elaine C Cheatham | Case Manager/Care Coordinator | 2124 Sw 48th Street, Oklahoma City, OK 73119 | 2015-06-22 |
| 1215326038 | Life and Hope Counseling LLC | Counselor | 2212 Sw 55th St, Okc, OK 73119 | 2015-01-16 |
| 1063761179 | Virginia Sanchez | Counselor | 2508 Sw 56th Street, Oklahoma City, OK 73119 | 2012-09-05 |
| 1720367493 | Hilarie Dawn Danner | Counselor | 2434 Sw 44 St., Oklahoma City, OK 73119 | 2011-08-11 |
| 1265630032 | Optics Inc Economy Square Optical | Technician/Technologist | 1605 Sw 59, Donnas Optical, Ok City, OK 73119 | 2007-07-03 |
| 1659441228 | Terrance Patrick Mcdermott | Family Medicine | 2536 Sw 29th Street, Mcdermott Clinic, Oklahoma City, OK 73119 | 2006-11-09 |
| 1336245679 | Christos Dimas | Internal Medicine | 2716 Sw 44th, Oklahoma City, OK 73119 | 2006-09-15 |
| 1073625299 | Nathan Dennis Schacter | Chiropractor | 2228 Sw 59th, Oklahoma City, OK 73119 | 2006-09-01 |
| 1548289655 | John Bernard Hughes Jr. | Orthopaedic Surgery | 2149 Southwest 59th Street, Suite 102, Oklahoma City, OK 73119 | 2006-07-19 |
| Find all providers in zip 73119 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144839994 | Jill Brittny Johnson | Counselor | 2840 Nw 31st St, Oklahoma City, OK 73112-7407 | 2020-07-28 |
| 1760021984 | Damilola Mosebolatan Akintola | Counselor | 5013 Oak Manor Dr, Oklahoma City, OK 73135-2235 | 2020-01-06 |
| 1376185934 | Kevin Pierson | Counselor | 8536 N Lindsay Ave, Oklahoma City, OK 73114-0801 | 2019-10-15 |
| 1922651249 | Timothy Aaron Vick | Counselor | 5101 Nw 26th St, Oklahoma City, OK 73127-1723 | 2019-07-17 |
| 1093378218 | Crentha S Turner | Counselor | 11227 Nile Ave, Oklahoma City, OK 73114-7071 | 2019-04-15 |
| 1720564933 | Dawn Lea Long Counseling LLC | Counselor | 5350 S Western Ave Ste 211, Oklahoma City, OK 73109-4525 | 2018-07-11 |
| 1902395494 | Tisha Lee Rodriguez | Counselor | 4001 N Classen Blvd Ste 105, Oklahoma City, OK 73118-2668 | 2018-05-09 |
| 1306349378 | Charlene Hester | Counselor | 1000 Sw 44th St Ste 200, Oklahoma City, OK 73109-3629 | 2018-03-15 |
| 1114425121 | Jacob Ian Arnold | Counselor | 521 N Council Rd Apt G, Oklahoma City, OK 73127-4971 | 2018-01-24 |
| 1225546534 | Christopher Dewayne Grant | Counselor | 807 Ne 21st St, Oklahoma City, OK 73105-8213 | 2018-01-21 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73119 |
Please comment or provide details below to improve the information on TIFFANY P 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.