DR. CARRIE LYNN PARK PSY.D.
NPI 1740685304
Psychologist - Clinical in South Pasadena, CA

Active since October 24, 2014
1151 EL CENTRO ST, SUITE B, SOUTH PASADENA, CA 91030(323) 345-1402 Get Directions Write a Review

NPPES record last updated: March 4, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Carrie Lynn Park Psy.d. NPPES

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

DR. CARRIE LYNN PARK PSY.D. (NPI 1740685304) is an individual clinical provider in South Pasadena, California, licensed in California (PSY 22587) and active in the NPI registry since October 2014.

NPPES Registry Identity

NPI1740685304
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. CARRIE LYNN PARKCredential: PSY.D.
Location Address1151 EL CENTRO ST, SUITE BSouth Pasadena, CA 91030-5721
Mailing Address1151 El Centro St, Suite BSouth Pasadena, CA 91030-5721 · (323) 345-1402
Sole ProprietorNo
Enumeration DateOctober 24, 2014
Last NPPES UpdateMarch 4, 2015
NPI 1740685304 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in CA · PSY 22587
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
1151 EL CENTRO ST, South Pasadena, CA 91030

Other Providers at the Same Location NPPES 5

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

Speech-Language Pathologist
1151 EL CENTRO ST, SUITE B
SOUTH PASADENA, CA 91030
Speech-Language Pathologist
1151 EL CENTRO ST, SUITE B
SOUTH PASADENA, CA 91030
Chiropractor
1151 EL CENTRO ST, SUITE A
SOUTH PASADENA, CA 91030
Psychologist (Clinical)
1151 EL CENTRO ST, SUITE B
SOUTH PASADENA, CA 91030
Chiropractor
1151 EL CENTRO ST, UNIT A
SOUTH PASADENA, CA 91030

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 Carrie Park's NPI number?

The NPI number for Carrie Park is 1740685304. It was assigned to this individual provider in the NPPES registry on October 24, 2014.

Where is Carrie Park located?

Carrie Park practices at 1151 El Centro St Suite B, South Pasadena, CA 91030. The listed phone number is (323) 345-1402.

What is Carrie Park's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Carrie Park was last updated on March 4, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.