DR. SUSAN S. PARK PH.D.
NPI 1235253634
Psychologist - Clinical in Pasadena, CA

Active since March 19, 2007
210 S DE LACEY AVE, SUITE 100, PASADENA, CA 91105(626) 395-7100(818) 897-1766 Get Directions Write a Review

NPPES record last updated: October 28, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Susan S. Park Ph.d. NPPES

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

DR. SUSAN S. PARK PH.D. (NPI 1235253634) is an individual clinical provider in Pasadena, California, licensed in California (PSY21718) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1235253634
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. SUSAN S. PARKCredential: PH.D.
Location Address210 S DE LACEY AVE, SUITE 100Pasadena, CA 91105-2048
Mailing Address4650 W Sunset Blvd, Ms140Los Angeles, CA 90027-6062 · (323) 361-8866 · Fax (323) 361-3843
Fax(818) 897-1766
Sole ProprietorYes
Enumeration DateMarch 19, 2007
Last NPPES UpdateOctober 28, 2013
NPI 1235253634 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in CA · PSY21718
Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

210 S DE LACEY AVE, Pasadena, CA 91105

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.

Marriage & Family Therapist
210 S DE LACEY AVE
PASADENA, CA 91105
Rehabilitation Practitioner
210 S DE LACEY AVE, SUITE 110
PASADENA, CA 91105
Marriage & Family Therapist
210 S DE LACEY AVE, SUITE 110
PASADENA, CA 91105
Marriage & Family Therapist
210 S DE LACEY AVE
PASADENA, CA 91105
Rehabilitation Practitioner
210 S DE LACEY AVE
PASADENA, CA 91105
Social Worker (Clinical)
210 S DE LACEY AVE, SUITE 110
PASADENA, CA 91105
Rehabilitation Practitioner
210 S DE LACEY AVE, STE. 110
PASADENA, CA 91105
Community Health Worker
210 S DE LACEY AVE, SUITE 110
PASADENA, CA 91105

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 Susan Park's NPI number?

The NPI number for Susan Park is 1235253634. It was assigned to this individual provider in the NPPES registry on March 19, 2007.

Where is Susan Park located?

Susan Park practices at 210 S De Lacey Ave Suite 100, Pasadena, CA 91105. The listed phone number is (626) 395-7100.

What is Susan Park's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Susan Park was last updated on October 28, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.