DR. PAUL PARK PSY.D.
NPI 1821417668
Psychologist - Clinical in New York, NY

Q: What is Paul Park's NPI number?

The NPI number for Paul Park is 1821417668. It was assigned to this individual provider in the NPPES registry on April 9, 2014.

Q: What is Paul 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 Paul Park was last updated on January 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 April 09, 2014

1115 BROADWAY FL 12, NEW YORK, NY 10010(646) 504-3596 Get Directions Write a Review

NPPES record last updated: January 12, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 12, 2021, Dec 1, 2020 (2 updates tracked since 2020).

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About Dr. Paul Park Psy.d. NPPES

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

DR. PAUL PARK PSY.D. (NPI 1821417668) is an individual clinical provider in New York, New York, licensed in New York (020500) and active in the NPI registry since April 2014. He maintains a secondary practice location in Piscataway.

NPPES Registry Identity

NPI1821417668

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. PAUL PARKCredential: PSY.D.

Location Address1115 BROADWAY FL 12New York, NY 10010-3452

Mailing Address1115 Broadway Fl 12New York, NY 10010-3452 · (646) 504-3596

Phone(646) 504-3596

Sole ProprietorYes

Enumeration DateApril 9, 2014

Last NPPES UpdateJanuary 12, 20212 updates tracked since enumeration

NPPES CertifiedJanuary 12, 2021

✔ NPI 1821417668 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

Licenses✔ Licensed in NY · 020500✔ Licensed in NJ · 5326

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 020500 (NY)

1115 BROADWAY FL 12, New York, NY 10010

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Secondary Practice Location 1

Location 1170 Frelinghuysen RdPiscataway, NJ 08854-8020 · Phone (848) 445-6002 · Fax (732) 445-0127

Other Providers at the Same Location NPPES 20

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

LAUREN TODD

Psychologist (Clinical)