Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Priscilla Phan, PSYD

Individual provider Mental Health Counselor · NPI 1699412171

Dr. Priscilla Phan, PSYD is a Mental Health Counselor in Cannon AFB, New Mexico. Licensed in New Mexico, Texas and Virginia. Registered with an NPI since 2022.

Licensed in
NM, TX, VA
In the registry since
2022
Specialties on file
3
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

See every abbreviation used in this directory →

Practice location Address checks out

224 W D.l Ingram Ave Bldg 1408
Cannon AFB, NM 88103
Phone: (575) 784-1108
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 0810008963 (VA)
Mental Health Counselor Taxonomy 101YM0800X (NM)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (TX)

Record details

NPI number1699412171
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYD
Sole proprietorNo
NPI enumeratedMay 17, 2022
Last updated in NPPESJune 27, 2025
Certification dateJune 27, 2025
Mailing address27 Somdg, 104 W. D.L. Ingram Ave, Cannon Afb, NM 88101

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