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JOHN JINSO PARK
NPI 1326629593
Psychologist - Clinical in Chicago, IL

Active since April 19, 2021
1438 W BELMONT AVE, CHICAGO, IL 60657(312) 508-3645 Get Directions Write a Review

NPPES record last updated: April 1, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 1, 2024, Apr 19, 2021 (2 updates tracked since 2021).

About John Jinso Park NPPES

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

JOHN JINSO PARK (NPI 1326629593) is an individual clinical provider in Chicago, Illinois, licensed in Illinois (071.010836) and active in the NPI registry since April 2021.

NPPES Registry Identity

NPI1326629593
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameJOHN JINSO PARK
Location Address1438 W BELMONT AVEChicago, IL 60657-2150
Mailing Address5701 N Sheridan Rd Apt 30hChicago, IL 60660-4792
Phone(312) 508-3645
Sole ProprietorYes
Enumeration DateApril 19, 2021
Last NPPES UpdateApril 1, 20242 updates tracked since enumeration
NPPES CertifiedApril 1, 2024
✔ NPI 1326629593 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 IL · 071.010836
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.
1438 W BELMONT AVE, Chicago, IL 60657
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Other Providers at the Same Location NPPES 12

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

JESSICA CAMPBELL LSW
Social Worker
1438 W BELMONT AVE
CHICAGO, IL 60657
Cook County (312) 508-3645
SARAH DUNN LPC
Counselor (Professional)
1438 W BELMONT AVE
CHICAGO, IL 60657
Cook County (312) 508-3645
MARY GRACE FAIR APRN
Nurse Practitioner (Psychiatric/Mental Health)
1438 W BELMONT AVE
CHICAGO, IL 60657
Cook County (312) 508-3645
BRIAN CASEY
Social Worker (Clinical)
1438 W BELMONT AVE
CHICAGO, IL 60657
Cook County (312) 508-3645
MEREDITH GRACE GARCIA LSW
Social Worker
1438 W BELMONT AVE
CHICAGO, IL 60657
Cook County (312) 508-3645
EMILY WILENSKY
Marriage & Family Therapist
1438 W BELMONT AVE
CHICAGO, IL 60657
Cook County (312) 508-3645
CHELSEA VLCEK
Counselor (Mental Health)
1438 W BELMONT AVE
CHICAGO, IL 60657
Cook County (312) 508-3645
RYNE RUBIO
Counselor (Professional)
1438 W BELMONT AVE
CHICAGO, IL 60657
Cook County (312) 508-3645

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 John Park's NPI number?

The NPI number for John Park is 1326629593. It was assigned to this individual provider in the NPPES registry on April 19, 2021.

Where is John Park located?

John Park practices at 1438 W Belmont Ave, Chicago, IL 60657. The listed phone number is (312) 508-3645.

What is John 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 John Park was last updated on April 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.