MIKAYLA T PHAN


Address: 437 S Yellowstone Dr Ste 212, Madison, WI 53719-1061
Phone: 6086306153

MIKAYLA T PHAN (NPI# 1720637507) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1720637507
Entity Type Individual
Full Name MIKAYLA T PHAN
Credential MFT-IT
Practice Address 437 S Yellowstone Dr Ste 212
Madison
WI 53719-1061
Practice Telephone 6086306153
Mailing Telephone 6086306153
Enumeration Date 2019-09-05
Last Update Date 2020-03-23
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 106H00000X Marriage & Family Therapist Behavioral Health & Social Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
6333 Odana Rd Ste 20, Madison, WI 537191130 6082702511

Office Location

Street Address 437 S YELLOWSTONE DR STE 212
City MADISON
State WI
Zip Code 53719-1061

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1689271801 Jessica Seidel Registered Nurse 1015 Gammon Lane, Madison, WI 53719 2020-10-01
1376168989 360 Wellness LLC Physical Therapist 504 S Yellowstone Lane, Madison, WI 53719 2020-06-09
1932744067 Sara Ruiz Marriage & Family Therapist Clock Tower Office Park, 6333 Odana Rd, #20, Madison, WI 53719 2019-11-13
1700436466 David R. Gosling Counselor 702 South High Point Road #209, Madison, WI 53719 2019-09-16
1285289587 Clifton Leo Davis Jr. Counselor 6417 O Dana Rd #5, Madison, WI 53719 2019-08-05
1679127278 Akillah Jamillah Wali Psychologist 6417 Odana Rd Suite 5, Madison, WI 53719 2019-07-31
1689230211 Brandy Georgecopeland Marriage & Family Therapist 6417 Odana Rd. Ste 5, Madison, WI 53719 2019-05-20
1275016826 Kelsey Andersen Physical Therapist 504 S. Yellowstone Lane, Madison, WI 53719 2018-09-10
1740797190 Catelyn Schwerke Social Worker 3848 Maple Grove Dr, Apt 307, Madison, WI 53719 2018-01-08
1922519008 Mary Jane Cruz Delorme Registered Nurse 6831 Mader Dr. #210, #210, Madison, WI 53719 2017-10-17
Find all providers in zip 53719

Taxonomy Information

Taxonomy Code 106H00000X
Grouping Behavioral Health & Social Service Providers
Classification Marriage & Family Therapist

Taxonomy Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1700494473 Kelsey Card Marriage & Family Therapist 702 N Blackhawk Ave Ste 215, Madison, WI 53705-3357 2020-07-20
1437773736 Andrew Clayton Marriage & Family Therapist 440 Science Dr Ste 300, Madison, WI 53711-1064 2020-06-02
1518580638 Caitlin Stark Marriage & Family Therapist 518 Algoma St, Madison, WI 53704-4813 2020-05-22
1144843772 Sonya Sebren Summerlin Marriage & Family Therapist 17 Peachtree Ln, Madison, MS 39110-9217 2020-05-18
1083241723 Tammey Rooney Marriage & Family Therapist 4 Grove Ave, Madison, CT 06443-3225 2020-03-24
1639702970 Sheila Jane Mccabe Marriage & Family Therapist 1205 Saunders Ave, Madison, TN 37115-5118 2020-02-14
1881232189 Redwood Family Therapy LLC Marriage & Family Therapist 6402 Odana Rd Ste 106, Madison, WI 53719-1123 2019-12-17
1932744067 Sara Ruiz Marriage & Family Therapist Clock Tower Office Park, 6333 Odana Rd, #20, Madison, WI 53719 2019-11-13
1457993057 Joseph Stephen Leonard Marriage & Family Therapist 8025 Excelsior Dr Ste 110, Madison, WI 53717-2902 2019-10-15
1912552878 Heart Consulting LLC Marriage & Family Therapist 4706 Cottage Grove Rd Ste 300, Madison, WI 53716-1354 2019-08-07
Find all providers in MADISON

Competitor

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City MADISON
Zip Code 53719

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Dataset Information

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.

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