MI N PARK
NPI 1013140268
Psychologist in San Mateo, CA

Active since September 03, 2009
1777 BOREL PL STE 210, SAN MATEO, CA 94402(415) 320-1864 Get Directions Write a Review

NPPES record last updated: October 31, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mi N Park NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MI N PARK (NPI 1013140268) is an individual psychologist in San Mateo, California, licensed in California (PSY27071) and active in the NPI registry since September 2009.

NPPES Registry Identity

NPI1013140268
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameMI N PARK
Location Address1777 BOREL PL STE 210San Mateo, CA 94402-3511
Mailing Address1777 Borel Pl Ste 210San Mateo, CA 94402-3511 · (415) 320-1864
Sole ProprietorYes
Enumeration DateSeptember 3, 2009
Last NPPES UpdateOctober 31, 2025
NPPES CertifiedOctober 31, 2025
NPI 1013140268 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in CA · PSY27071
Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

1777 BOREL PL STE 210, San Mateo, CA 94402

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mi Park's NPI number?

The NPI number for Mi Park is 1013140268. It was assigned to this individual provider in the NPPES registry on September 3, 2009.

Where is Mi Park located?

Mi Park practices at 1777 Borel Pl Ste 210, San Mateo, CA 94402. The listed phone number is (415) 320-1864.

What is Mi Park's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

When was this NPI record last updated?

The NPPES record for Mi Park was last updated on October 31, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.