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BENITA S PARK
NPI 1578419073
Counselor - Mental Health in Jericho, NY

Active since March 06, 2026
282 BIRCHWOOD PARK DR, JERICHO, NY 11753(631) 392-8384 Get Directions Write a Review

NPPES record last updated: March 6, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Benita S Park NPPES

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

BENITA S PARK (NPI 1578419073) is an individual mental health provider in Jericho, New York, licensed in New York (129830) and active in the NPI registry since March 2026.

NPPES Registry Identity

NPI1578419073
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameBENITA S PARK
Location Address282 BIRCHWOOD PARK DRJericho, NY 11753-2307
Mailing Address282 Birchwood Park DrJericho, NY 11753-2307
Phone(631) 392-8384
Sole ProprietorNo
Enumeration DateMarch 6, 2026
NPPES CertifiedMarch 6, 2026
✔ NPI 1578419073 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NY · 129830
282 BIRCHWOOD PARK DR, Jericho, NY 11753
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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 Benita Park's NPI number?

The NPI number for Benita Park is 1578419073. It was assigned to this individual provider in the NPPES registry on March 6, 2026.

Where is Benita Park located?

Benita Park practices at 282 Birchwood Park Dr, Jericho, NY 11753. The listed phone number is (631) 392-8384.

What is Benita 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 Benita Park was last updated on March 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.