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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: August 16, 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
Phone(253) 239-2310
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
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.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.

CHILD PSYCHOLOGY TESTING SERVICES PLLC
Psychologist (Clinical Child & Adolescent)
6314 19TH ST W STE 14
FIRCREST, WA 98466
Pierce County (253) 239-2310

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 Stacey Park's NPI number?

The NPI number for Stacey Park is 1659801173. It was assigned to this individual provider in the NPPES registry on June 18, 2017.

Where is Stacey Park located?

Stacey Park practices at 6314 19th St W Ste 14, Fircrest, WA 98466. The listed phone number is (253) 239-2310.

What is Stacey Park's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

What insurance does Stacey Park accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Stacey Park as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Stacey Park was last updated on June 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.