MR. ANDREW JOHN PARK MAMHC
NPI 1386975399
Counselor in Canandaigua, NY

Q: What is Andrew Park's NPI number?

The NPI number for Andrew Park is 1386975399. It was assigned to this individual provider in the NPPES registry on January 15, 2010.

Q: What is Andrew Park's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Andrew Park was last updated on January 15, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since January 15, 2010

3019 COUNTY COMPLEX DR., CANANDAIGUA, NY 14424(585) 396-4190(585) 393-2916 Get Directions Write a Review

NPPES record last updated: January 15, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mr. Andrew John Park Mamhc NPPES

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

MR. ANDREW JOHN PARK MAMHC (NPI 1386975399) is an individual counselor in Canandaigua, New York and active in the NPI registry since January 2010.

NPPES Registry Identity

NPI1386975399

Entity TypeIndividualMale

Primary Taxonomy101Y00000X

Provider Legal NameMR. ANDREW JOHN PARKCredential: MAMHC

Location Address3019 COUNTY COMPLEX DR.Canandaigua, NY 14424

Mailing Address3019 County Complex DrCanandaigua, NY 14424-9505 · (585) 396-4190 · Fax (585) 383-2916

Phone(585) 396-4190

Fax(585) 393-2916

Sole ProprietorYes

Enumeration DateJanuary 15, 2010

✔ NPI 1386975399 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

3019 COUNTY COMPLEX DR., Canandaigua, NY 14424

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Other Providers at the Same Location NPPES

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

CONSTANCE M LAPRAIRIE CASAC

Counselor (Addiction (Substance Use Disorder))

3019 COUNTY COMPLEX DR.
CANANDAIGUA, NY 14424

Ontario County (585) 396-4190

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 Andrew Park's NPI number?

The NPI number for Andrew Park is 1386975399. It was assigned to this individual provider in the NPPES registry on January 15, 2010.

Where is Andrew Park located?

Andrew Park practices at 3019 County Complex Dr., Canandaigua, NY 14424. The listed phone number is (585) 396-4190.

What is Andrew Park's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Andrew Park was last updated on January 15, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.