1. Home
  2. Directory
  3. New York
  4. Rochester
  5. Psychologist
  6. NPI Profile

DR. BONNIE CHANGHEE PARK PH.D.
NPI 1508825274
Psychologist - Clinical in Rochester, NY

Active since March 21, 2006
1597 RIDGE ROAD WEST, SUITE 301, ROCHESTER, NY 14615(585) 865-0230(585) 865-0234 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Bonnie Changhee Park Ph.d. NPPES

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

DR. BONNIE CHANGHEE PARK PH.D. (NPI 1508825274) is an individual clinical provider in Rochester, New York, licensed in New York (015206-1) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1508825274
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. BONNIE CHANGHEE PARKCredential: PH.D.
Location Address1597 RIDGE ROAD WEST, SUITE 301Rochester, NY 14615
Mailing Address1597 Ridge Road West, Suite 301Rochester, NY 14615 · (585) 865-0230 · Fax (585) 865-0234
Phone(585) 865-0230
Fax(585) 865-0234
Sole ProprietorYes
Enumeration DateMarch 21, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1508825274 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 NY · 015206-1
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.
1597 RIDGE ROAD WEST, Rochester, NY 14615
Open in Google Maps ↗

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 Bonnie Park's NPI number?

The NPI number for Bonnie Park is 1508825274. It was assigned to this individual provider in the NPPES registry on March 21, 2006.

Where is Bonnie Park located?

Bonnie Park practices at 1597 Ridge Road West Suite 301, Rochester, NY 14615. The listed phone number is (585) 865-0230.

What is Bonnie 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 Bonnie Park was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.