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DR. AMY H PARK PH.D.
NPI 1306811534
Psychologist - Clinical in Tacoma, WA

Active since February 21, 2006
9040 JACKSON AVE, TACOMA, WA 98431(360) 810-1659 Get Directions Write a Review

NPPES record last updated: September 16, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 16, 2019, Aug 15, 2019, Mar 17, 2017 (3 updates tracked since 2017).

About Dr. Amy H Park Ph.d. NPPES

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

DR. AMY H PARK PH.D. (NPI 1306811534) is an individual clinical provider in Tacoma, Washington, licensed in Washington (PY00003942) and active in the NPI registry since February 2006. She maintains a secondary practice location in Olympia.

NPPES Registry Identity

NPI1306811534
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. AMY H PARKCredential: PH.D.
Location Address9040 JACKSON AVETacoma, WA 98431-2871
Mailing Address9040 Jackson AveTacoma, WA 98431-0001
Phone(360) 810-1659
Sole ProprietorNo
Enumeration DateFebruary 21, 2006
Last NPPES UpdateSeptember 16, 20193 updates tracked since enumeration
✔ NPI 1306811534 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Licenses✔ Licensed in WA · PY00003942✔ Licensed in VT · 048-0000851
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.
9040 JACKSON AVE, Tacoma, WA 98431
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Secondary Practice Location 1

Location 1108 22nd Ave SW Ste 8Olympia, WA 98501-2871 · Phone (360) 810-1659 · Fax (360) 252-6797

Other Identifiers 6

Medicaid1010917VT
Other540506VT · Value Options
Other2207559VT · Cigna
Other356373VT · Mhn
Other68315VT · Bcbs
Medicaid8524290WA

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.

MICHAEL JOHN MEANS CRNA
Nurse Anesthetist, Certified Registered
9040 JACKSON AVE
TACOMA, WA 98431
Pierce County (253) 968-2235
DR. ADAM CLAY PERKINS PH.D.
Psychologist (Clinical)
9040 JACKSON AVE
TACOMA, WA 98431
Pierce County (253) 968-3071
GABRIELLE ABRAHAMSEN DPT
Physical Therapist
9040 JACKSON AVE
TACOMA, WA 98431
Pierce County (253) 968-2220
KENNY VAN LE MD
Anesthesiology
9040 JACKSON AVE
TACOMA, WA 98431
Pierce County (253) 968-1110
MR. ANDREW J IRIZARRY DNP, CRNA
Nurse Anesthetist, Certified Registered
9040 JACKSON AVE
TACOMA, WA 98431
Pierce County (330) 509-3934
MATTHEW LIBID CRNA
Nurse Anesthetist, Certified Registered
9040 JACKSON AVE
TACOMA, WA 98431
Pierce County (203) 768-5053
DR. SALEEM M CHOUDRY
General Practice
9040 JACKSON AVE
TACOMA, WA 98431
Pierce County (253) 968-2462
COURTNEY LAVIN
General Practice
9040 JACKSON AVE
TACOMA, WA 98431
Pierce County (253) 968-1790

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 Amy Park's NPI number?

The NPI number for Amy Park is 1306811534. It was assigned to this individual provider in the NPPES registry on February 21, 2006.

Where is Amy Park located?

Amy Park practices at 9040 Jackson Ave, Tacoma, WA 98431. The listed phone number is (360) 810-1659.

What is Amy 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 Amy Park was last updated on September 16, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.