SAMUEL PARK PHD
NPI 1578738522
Psychologist in La Jolla, CA

Active since April 29, 2008
9500 GILMAN DRIVE, MC 0304, LA JOLLA, CA 92093(858) 534-3755(858) 534-2628 Get Directions Write a Review

NPPES record last updated: April 29, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Samuel Park Phd NPPES

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

SAMUEL PARK PHD (NPI 1578738522) is an individual psychologist in La Jolla, California, licensed in California (PSY16648) and active in the NPI registry since April 2008.

NPPES Registry Identity

NPI1578738522
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameSAMUEL PARKCredential: PHD
Location Address9500 GILMAN DRIVE, MC 0304La Jolla, CA 92093-0304
Mailing Address9500 Gilman Drive, Mc 0304La Jolla, CA 92093-0304 · (858) 534-3755 · Fax (858) 534-2628
Fax(858) 534-2628
Sole ProprietorYes
Enumeration DateApril 29, 2008
NPI 1578738522 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in CA · PSY16648
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Also ListedPsychologist · CounselingTaxonomy 103TC1900X · License PSY16648 (CA)
9500 GILMAN DRIVE, La Jolla, CA 92093

Other Providers at the Same Location NPPES 20

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

Student in an Organized Health Care Education/Training Program
9500 GILMAN DRIVE, MAIL CODE 0602
LA JOLLA, CA 92093
Specialist/Technologist (Athletic Trainer)
9500 GILMAN DRIVE, UNIVERSITY OF CALIFORNIA, SAN DIEGO
LA JOLLA, CA 92093
Clinic/Center (Student Health)
9500 GILMAN DRIVE
LA JOLLA, CA 92093
Internal Medicine (Allergy & Immunology)
9500 GILMAN DRIVE
LA JOLLA, CA 92093
Clinic/Center (Student Health)
9500 GILMAN DRIVE
LA JOLLA, CA 92093
Clinical Medical Laboratory
9500 GILMAN DRIVE, MAIL CODE 0639
LA JOLLA, CA 92093
General Acute Care Hospital (Children)
9500 GILMAN DRIVE
LA JOLLA, CA 92093
Psychiatry & Neurology (Psychiatry)
9500 GILMAN DRIVE
LA JOLLA, CA 92093

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 Samuel Park's NPI number?

The NPI number for Samuel Park is 1578738522. It was assigned to this individual provider in the NPPES registry on April 29, 2008.

Where is Samuel Park located?

Samuel Park practices at 9500 Gilman Drive Mc 0304, La Jolla, CA 92093. The listed phone number is (858) 534-3755.

What is Samuel Park's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

When was this NPI record last updated?

The NPPES record for Samuel Park was last updated on April 29, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.