Tiffany Phu, PhD
Psychologist in San Mateo, CA. Individual provider (NPI-1).
NPI number1124909320
StatusActive
Last updated in NPPESSep 12, 2025
Details
- NPI
- 1124909320
- Entity type
- Individual (NPI-1)
- Name
- Tiffany Phu
- Credential
- PhD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 12, 2025
- Certification date
- Sep 12, 2025
- Last updated
- Sep 12, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103T00000X | Psychologist | PSY36047 | CA | Yes |
Practice location
2000 Alameda De Las PulgasSan Mateo, CA 94403-1269
Phone 650-931-6565
Mailing address
2000 Alameda De Las PulgasSan Mateo, CA 94403-1269
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 44 Psychologist providers in San Mateo · All 4,655 providers in San Mateo
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