RANDOLPH W PARKS PHD PSYD
NPI 1285811257
Clinical Neuropsychologist in Fort Stewart, GA

Active since January 22, 2008
1061 HARMON AVE, CLINICAL SUPPORT DIVISION ROOM 2J22, FORT STEWART, GA 31314(912) 435-6277 Get Directions Write a Review

NPPES record last updated: May 19, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Randolph W Parks Phd Psyd NPPES

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

RANDOLPH W PARKS PHD PSYD (NPI 1285811257) is an individual clinical neuropsychologist in Fort Stewart, Georgia, licensed in Florida (PY6459) and active in the NPI registry since January 2008.

NPPES Registry Identity

NPI1285811257
Entity TypeIndividualMale
Primary Taxonomy103G00000X
Provider Legal NameRANDOLPH W PARKSCredential: PHD PSYD
Location Address1061 HARMON AVE, CLINICAL SUPPORT DIVISION ROOM 2J22Fort Stewart, GA 31314-5641
Mailing Address1061 Harmon Avenue, Army Clinical Support Division Room 2j22Fort Stewart, GA 31314 · (912) 435-6277
Sole ProprietorNo
Enumeration DateJanuary 22, 2008
Last NPPES UpdateMay 19, 2008
NPI 1285811257 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
License Licensed in FL · PY6459
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
1061 HARMON AVE, Fort Stewart, GA 31314

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.

Registered Nurse (Continuing Education/Staff Development)
1061 HARMON AVE
FORT STEWART, GA 31314
Registered Nurse (Case Management)
1061 HARMON AVE
FORT STEWART, GA 31314
Licensed Practical Nurse
1061 HARMON AVE
FORT STEWART, GA 31314
Dental Assistant
1061 HARMON AVE
FORT STEWART, GA 31314
Licensed Practical Nurse
1061 HARMON AVE
FORT STEWART, GA 31314
Nurse Practitioner (Family)
1061 HARMON AVE, DMC/IMC
FORT STEWART, GA 31314
Social Worker (Clinical)
1061 HARMON AVE
FORT STEWART, GA 31314
Pharmacist
1061 HARMON AVE, STE 1D03
FORT STEWART, GA 31314

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 Randolph Parks's NPI number?

The NPI number for Randolph Parks is 1285811257. It was assigned to this individual provider in the NPPES registry on January 22, 2008.

Where is Randolph Parks located?

Randolph Parks practices at 1061 Harmon Ave Clinical Support Division Room 2j22, Fort Stewart, GA 31314. The listed phone number is (912) 435-6277.

What is Randolph Parks's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

When was this NPI record last updated?

The NPPES record for Randolph Parks was last updated on May 19, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.