MIMI PARK MS, CCC-SLP
NPI 1669132213
Speech-Language Pathologist in Menlo Park, CA

Q: What is Mimi Park's NPI number?

The NPI number for Mimi Park is 1669132213. It was assigned to this individual provider in the NPPES registry on December 22, 2021.

Q: What is Mimi Park's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Q: When was this NPI record last updated?

The NPPES record for Mimi Park was last updated on December 22, 2021. 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.

Active since December 22, 2021

648 MENLO AVE STE 8, MENLO PARK, CA 94025(650) 714-9459 Get Directions Write a Review

NPPES record last updated: December 22, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mimi Park Ms, Ccc-slp NPPES

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

MIMI PARK MS, CCC-SLP (NPI 1669132213) is an individual speech-language pathologist provider in Menlo Park, California, licensed in California (19011) and active in the NPI registry since December 2021.

NPPES Registry Identity

NPI1669132213

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameMIMI PARKCredential: MS, CCC-SLP

Location Address648 MENLO AVE STE 8Menlo Park, CA 94025-4713

Mailing Address648 Menlo Ave Ste 8Menlo Park, CA 94025-4713 · (650) 714-9459

Phone(650) 714-9459

Sole ProprietorYes

Enumeration DateDecember 22, 2021

NPPES CertifiedDecember 22, 2021

✔ NPI 1669132213 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers

Taxonomy Code235Z00000X

License✔ Licensed in CA · 19011

Definition

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

648 MENLO AVE STE 8, Menlo Park, CA 94025

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Other Providers at the Same Location NPPES

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

MENLO SPEECH PATHOLOGY INC.

Clinic/Center

648 MENLO AVE STE 8
MENLO PARK, CA 94025

San Mateo County (650) 714-9459

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 Mimi Park's NPI number?

The NPI number for Mimi Park is 1669132213. It was assigned to this individual provider in the NPPES registry on December 22, 2021.

Where is Mimi Park located?

Mimi Park practices at 648 Menlo Ave Ste 8, Menlo Park, CA 94025. The listed phone number is (650) 714-9459.

What is Mimi Park's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Mimi Park was last updated on December 22, 2021. 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.