IndividualActive
Tien Phan, MA
NPI 1497097950 · Clinical Psychologist · San Diego, CA
Provider details
- NPI number
- 1497097950
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- MA
- Sex
- Female
- Sole proprietor
- No
- License
- PSY32425 (CA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Mental Health Counselor101YM0800X
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
7228 Hyatt St
San Diego, CA 92111-6102
Phone: (858) 330-4304
Street-level locationGet directions
Mailing address
5663 Balboa Ave Ste 380
San Diego, CA 92111-2705
Registry dates
- Enumerated
- 2013-03-22
- Last updated
- 2024-12-03
- Certified
- 2024-12-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.