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PARK PSYCHOLOGY PLLC
NPI 1144800194
Clinic/Center - Adult Mental Health in New York, NY

Active since April 13, 2021
1115 BROADWAY FL 12, NEW YORK, NY 10010(646) 504-3596 Get Directions Write a Review

NPPES record last updated: April 13, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Park Psychology Pllc NPPES

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

PARK PSYCHOLOGY PLLC (NPI 1144800194) is a healthcare organization registered as an adult mental health in New York, New York and active in the NPI registry since April 2021. The organization lists Paul J Park, Owner, as its authorized official.

NPPES Registry Identity

NPI1144800194
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NamePARK PSYCHOLOGY PLLC
Location Address1115 BROADWAY FL 12New York, NY 10010-3452
Mailing Address1115 Broadway Fl 12New York, NY 10010-3452 · (646) 504-3596
Phone(646) 504-3596
Organization SubpartNo
Authorized OfficialPaul J ParkOwner · (646) 504-3596
Enumeration DateApril 13, 2021
NPPES CertifiedApril 13, 2021
✔ NPI 1144800194 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
Also ListedPsychologistTaxonomy 103T00000X
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X
1115 BROADWAY FL 12, New York, NY 10010
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAUREN TODD
Psychologist (Clinical)
1115 BROADWAY FL 12
NEW YORK, NY 10010
New York County (201) 819-0746
MARIA J BOROWSKI NP-C
Nurse Practitioner (Adult Health)
1115 BROADWAY FL 12
NEW YORK, NY 10010
New York County (908) 419-5147
DR. CAROLINA LISBETH JULIAN PSY.D.
Psychologist
1115 BROADWAY FL 12
NEW YORK, NY 10010
New York County (347) 443-9158
MR. STEPHEN KNOWLES STUDENT, HEALTH CARE
Student in an Organized Health Care Education/Training Program
1115 BROADWAY FL 12
NEW YORK, NY 10010
New York County (347) 389-3920
JENNY MAENPAA LICENSED CLINICAL SOCIAL WORKER PLLC
Social Worker
1115 BROADWAY FL 12
NEW YORK, NY 10010
New York County (646) 600-8375
GAREN AMIRIAN LMHC
Counselor (Mental Health)
1115 BROADWAY FL 12
NEW YORK, NY 10010
New York County (914) 297-7983
KATIE LIANG
Counselor (Mental Health)
1115 BROADWAY FL 12
NEW YORK, NY 10010
New York County (646) 374-8673
GABRIELLA LEONORA GIACHIN LMSW
Social Worker
1115 BROADWAY FL 12
NEW YORK, NY 10010
New York County (201) 781-2151

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 Park Psychology PLLC's NPI number?

The NPI number for Park Psychology PLLC is 1144800194. It was assigned to this organization in the NPPES registry on April 13, 2021.

Where is Park Psychology PLLC located?

Park Psychology PLLC is located at 1115 Broadway Fl 12, New York, NY 10010. The listed phone number is (646) 504-3596.

What is Park Psychology PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

When was this NPI record last updated?

The NPPES record for Park Psychology PLLC was last updated on April 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.