DR. JOHN PARK PHD
NPI 1750632501
Psychologist - Clinical in Diamond Bar, CA

Q: What is John Park's NPI number?

The NPI number for John Park is 1750632501. It was assigned to this individual provider in the NPPES registry on September 19, 2012.

Q: What is John Park's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for John Park was last updated on July 27, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 September 19, 2012

1370 VALLEY VISTA DR STE 200, DIAMOND BAR, CA 91765(909) 274-9119 Get Directions Write a Review

NPPES record last updated: July 27, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 27, 2018, Jun 15, 2018 (2 updates tracked since 2018).

On this page

About Dr. John Park Phd NPPES

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

DR. JOHN PARK PHD (NPI 1750632501) is an individual clinical provider in Diamond Bar, California, licensed in California (PSY30065) and active in the NPI registry since September 2012. He maintains 2 additional practice locations.

NPPES Registry Identity

NPI1750632501

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. JOHN PARKCredential: PHD

Location Address1370 VALLEY VISTA DR STE 200Diamond Bar, CA 91765

Mailing Address1317 S Diamond Bar Blvd Unit 4233Diamond Bar, CA 91765-5610 · (909) 274-9119

Phone(909) 274-9119

Sole ProprietorYes

Enumeration DateSeptember 19, 2012

Last NPPES UpdateJuly 27, 20182 updates tracked since enumeration

✔ NPI 1750632501 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in CA · PSY30065

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.

Also ListedPsychologistTaxonomy 103T00000X · License 30065 (CA)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1370 VALLEY VISTA DR STE 200, Diamond Bar, CA 91765

Open in Google Maps ↗

Secondary Practice Locations 2

Location 110470 Foothill BlvdRancho Cucamonga, CA 91730-3754 · Phone (909) 274-9119

Location 224920 Mound StLoma Linda, CA 92350-0001 · Phone (909) 651-2257 · Fax (909) 651-2257

Other Providers at the Same Location NPPES 15

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

COGDIVERSIFIED, A MARRIAGE & FAMILY COUNSELING PROFESSIONAL CORPORATION

Marriage & Family Therapist