DR. STACEY PARK PHD
NPI 1659801173
Psychologist - Clinical Child & Adolescent in Fircrest, WA
NPI Status: Active since June 18, 2017
Contact Information
6314 19TH ST W STE 14
FIRCREST, WA
ZIP 98466
Phone: (253) 239-2310
Fax: (253) 239-2311
- Individual
- Female
- Psychologist
- Clinical Child & Adolescent
- Accepts Insurance
About STACEY PARK
This page provides the complete NPI Profile along with additional information for Stacey Park, a provider established in Fircrest, Washington with a medical specialization in Psychologist, focusing in clinical child & adolescent . The healthcare provider is registered in the NPI registry with number 1659801173 assigned on June 2017. The practitioner's primary taxonomy code is 103TC2200X with license number PY60880262 (WA). The provider is registered as an individual and her NPI record was last updated 4 years ago.
- NPI
- 1659801173
- Provider Name
- DR. STACEY PARK PHD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 6314 19TH ST W STE 14 FIRCREST, WA 98466
- Location Phone
- (253) 239-2310
- Location Fax
- (253) 239-2311
- Mailing Address
- 6314 19TH ST W STE 14 FIRCREST, WA 98466
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-18-2017
- Last Update Date
- 06-25-2022
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychologist Clinical Child & Adolescent
- Taxonomy Code
- 103TC2200X
- Type
- Behavioral Health & Social Service Providers
- License No.
- PY60880262
- License State
- WA
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 103TC1900X | Behavioral Health & Social Service Providers | Psychologist | 28774 (CA) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Premera Blue Cross Alaska One Gold - PPO
- Premera Blue Cross Preferred Bronze 5800 HSA - PPO
- Premera Blue Cross Preferred Bronze 6350 - PPO
- Premera Blue Cross Preferred Gold 1500 - PPO
- Premera Blue Cross Preferred Silver 4500 - PPO
- Premera Blue Cross Standard Bronze II - PPO
- Premera Blue Cross Standard Gold - PPO
- Premera Blue Cross Standard Silver - PPO
- Premera Blue Cross Family Dental - PPO
- Premera Blue Cross Pediatric Dental - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Reviews for DR. STACEY PARK PHD
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1659801173, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 57 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
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.
