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EUNMI PARK
NPI 1376189118
Counselor - Mental Health in Watertown, NY

Active since November 26, 2019
211 J.B. WISE PLAZA, WATERTOWN, NY 13601(315) 782-7445(315) 779-1184 Get Directions Write a Review

NPPES record last updated: September 17, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 17, 2020, Dec 17, 2019, Nov 26, 2019 (3 updates tracked since 2019).

About Eunmi Park NPPES

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

EUNMI PARK (NPI 1376189118) is an individual mental health provider in Watertown, New York, licensed in (P103873-01) and active in the NPI registry since November 2019. She maintains a secondary practice location in Watertown.

NPPES Registry Identity

NPI1376189118
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameEUNMI PARK
Location Address211 J.B. WISE PLAZAWatertown, NY 13601
Mailing AddressPo Box 6550Watertown, NY 13601-6550 · (315) 788-7430
Phone(315) 782-7445
Fax(315) 779-1184
Sole ProprietorNo
Enumeration DateNovember 26, 2019
Last NPPES UpdateSeptember 17, 20203 updates tracked since enumeration
NPPES CertifiedSeptember 15, 2020
✔ NPI 1376189118 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed · P103873-01
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
211 J.B. WISE PLAZA, Watertown, NY 13601
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Secondary Practice Location 1

Location 1167 Polk St Ste 300Watertown, NY 13601-2770 · Phone (315) 777-9713

Other Providers at the Same Location NPPES 17

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

TAYLOR FREEMAN
Licensed Practical Nurse
211 J.B. WISE PLAZA
WATERTOWN, NY 13601
Jefferson County (315) 782-7445
SHAWNA STONE
Social Worker (Clinical)
211 J.B. WISE PLAZA
WATERTOWN, NY 13601
Jefferson County (315) 782-7445
LISA M AUGUSTUS MHC
Counselor (Mental Health)
211 J.B. WISE PLAZA
WATERTOWN, NY 13601
Jefferson County (315) 782-7445
ANGELA ROTELLA
Licensed Practical Nurse
211 J.B. WISE PLAZA
WATERTOWN, NY 13601
Jefferson County (315) 782-7445
SHIRLEY ALICE RETZ MHC
Counselor (Mental Health)
211 J.B. WISE PLAZA
WATERTOWN, NY 13601
Jefferson County (315) 782-7445
MARGARET RUTH MENDOZA PSY.D.
Student in an Organized Health Care Education/Training Program
211 J.B. WISE PLAZA
WATERTOWN, NY 13601
Jefferson County (315) 782-7445
PATRICIA LEONE NP
Nurse Practitioner (Psychiatric/Mental Health)
211 J.B. WISE PLAZA
WATERTOWN, NY 13601
Jefferson County (315) 782-7445
BRITTANY M CLARK LMSW
Social Worker (Clinical)
211 J.B. WISE PLAZA
WATERTOWN, NY 13601
Jefferson County (315) 782-7445

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 Eunmi Park's NPI number?

The NPI number for Eunmi Park is 1376189118. It was assigned to this individual provider in the NPPES registry on November 26, 2019.

Where is Eunmi Park located?

Eunmi Park practices at 211 J.B. Wise Plaza, Watertown, NY 13601. The listed phone number is (315) 782-7445.

What is Eunmi Park's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Eunmi Park was last updated on September 17, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.