Mi N Park

Overview

Mi N Park is a health care provider registered with Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES). The National Provider Identifier (NPI) is #1013140268. The practice address is 300 Medical Plz Ste 1253, Los Angeles, CA 90095-6967, US. Published on September 3, 2009. Last updated on July 14, 2015.

Provider Information

NPI 1013140268
Entity Type Individual
Provider Name MI N PARK
Gender Female
Mailing Address 300 Medical Plz Ste 1253
Los Angeles
CA 90095-6967
US
Mailing Telephone 3107944008
Practice Address 300 Medical Plz Ste 1253
Los Angeles
CA 90095-6967
US
Practice Telephone 3107944008
Enumeration Date 2009-09-03
Last Update Date 2015-07-14
Is Sole Proprietor Y

Doctor and Clinician Information

PAC ID 3870814163
Medicare Provider Enrollment and Chain/Ownership System (PECOS) Associate Control (PAC) ID
Professional Enrollment ID I20150611003195
Full Name MI N PARK
Primary Specialty PSYCHIATRY
Organization Legal Name UCSF PSYCHIATRY
Address 401 Parnassus Ave
San Francisco
CA 94143-2211

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense Number
N101Y00000XCounselor
Y103T00000XPsychologistPSY27071 (CA)

Taxonomy Information

Primary Taxonomy

Code 103T00000X
Taxonomy Psychologist
Classification Psychologist
Grouping Behavioral Health & Social Service Providers
Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Notes: Source: American Psychological Association [1/1/2007: modified definition]

Other Taxonomy

Code 103T00000X
Taxonomy Psychologist
Classification Psychologist
Grouping Behavioral Health & Social Service Providers
Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Notes: Source: American Psychological Association [1/1/2007: modified definition]

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Location Information

Street Address 300 MEDICAL PLZ STE 1253
City LOS ANGELES
State CA
Zip Code 90095-6967
Country US

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Olivia Marie Losiewicz 221 Westwood Plaza, Los Angeles, CA 90095-0001Student in an Organized Health Care Education/Training Program2022-06-14
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Littledove F Rey 221 Westwood Plaza, Los Angeles, CA 90095-0001Student in an Organized Health Care Education/Training Program2022-06-13
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Veronica Franco 221 Westwood Plaza, Los Angeles, CA 90095-0001Counseling Psychologist2022-06-20
Tarek Mohsen Kassem Ucla Children's Dental Center, Los Angeles, CA 90095-0001Dentist2022-07-08
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Dataset Information

This dataset includes 5 million covered health care providers and all health plans and health care clearinghouses, registered with the National Plan and Provider Enumeration System (NPPES) developed by the Centers for Medicare & Medicaid Services (CMS). The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers. Sacramento County regulates businesses operating in the areas of the County not located within city limits (the unincorporated area of the County) to promote improved enforcement of ordinances that protect the public and prevent nuisances and neighborhood disturbances. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Federal