DR. STACEY PARK PHD
NPI 1659801173
Psychologist - Clinical Child & Adolescent in Fircrest, WA

Active since June 18, 2017
6314 19TH ST W STE 14, FIRCREST, WA 98466(253) 239-2310(253) 239-2311 Get Directions Write a Review

NPPES record last updated: June 25, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 17, 2022, Apr 25, 2022, Jun 1, 2019 and 2 more (5 updates tracked since 2017).

About Dr. Stacey Park Phd NPPES

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

DR. STACEY PARK PHD (NPI 1659801173) is an individual clinical child & adolescent provider in Fircrest, Washington, licensed in Washington (PY60880262) and active in the NPI registry since June 2017.

NPPES Registry Identity

NPI1659801173
Entity TypeIndividualFemale
Primary Taxonomy103TC2200X
Provider Legal NameDR. STACEY PARKCredential: PHD
Location Address6314 19TH ST W STE 14Fircrest, WA 98466-6223
Mailing Address6314 19th St W Ste 14Fircrest, WA 98466-6223
Fax(253) 239-2311
Sole ProprietorNo
Enumeration DateJune 18, 2017
Last NPPES UpdateJune 25, 20225 updates tracked since enumeration
NPPES CertifiedJune 25, 2022
NPI 1659801173 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers
Taxonomy Code103TC2200X
License Licensed in WA · PY60880262
Definition

A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.

Also ListedPsychologist · CounselingTaxonomy 103TC1900X · License 28774 (CA)
6314 19TH ST W STE 14, Fircrest, WA 98466

Accepted Insurance

Other Providers at the Same Location NPPES

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

Psychologist (Clinical Child & Adolescent)
6314 19TH ST W STE 14
FIRCREST, WA 98466

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1659801173, enumerated as an "individual" on June 18, 2017.

The provider is located at 6314 19TH ST W STE 14 FIRCREST, WA 98466 and the phone number is (253) 239-2310.

Psychologist with taxonomy code 103TC2200X and a focus in Clinical Child & Adolescent.

The provider might be accepting Accepts: Premera Blue Cross Blue Shield of Alaska. Please consult your insurance carrier or call the provider to verify.