PARK PSYCHOLOGY PLLC
Psychologist

Address: 1115 Broadway Fl 12, New York, NY 10010-3452

PARK PSYCHOLOGY PLLC (NPI# 1144800194) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1144800194
Entity Type Organization
Organization Name PARK PSYCHOLOGY PLLC
Practice Address 1115 Broadway Fl 12
New York
NY 10010-3452
Practice Telephone 6465043596
Mailing Address 1115 Broadway Fl 12
New York
NY 10010-3452
Mailing Telephone 6465043596
Certification Date 2021-04-13
Enumeration Date 2021-04-13
Last Update Date 2021-04-13
Authorized Official Telephone 6465043596
Authorized Official Credential PSYD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification Taxonomy Group License Number License State Grouping
N 103T00000X Psychologist 193200000X MULTI-SPECIALTY GROUP Behavioral Health & Social Service Providers
N 103TC0700X Psychologist
Specialization: Clinical
193200000X MULTI-SPECIALTY GROUP Behavioral Health & Social Service Providers
Y 261QM0850X Clinic/Center
Specialization: Adult Mental Health
Ambulatory Health Care Facilities

Office Location

Street Address 1115 BROADWAY FL 12
City NEW YORK
State NY
Zip Code 10010-3452

Providers in the same location

NPI Name Taxonomy Address Enumeration
1821417668 Paul Park Psychologist 1115 Broadway Fl 12, New York, NY 10010-3452 2014-04-09
1457888505 Erica Silberstein Psychologist - Clinical 1115 Broadway Fl 12, New York, NY 10010-3452 2017-05-19
1922588946 Sports Rehab Nyc Corp Massage Therapist 1115 Broadway Fl 12, New York, NY 10010-3452 2018-08-20
1235772948 Zoe White Psychologist - Clinical 1115 Broadway Fl 12, New York, NY 10010-3452 2019-10-25
1952721623 Mary Carnesale Gallagher Psychologist - Clinical 1115 Broadway Fl 12, New York, NY 10010-3452 2014-04-22
1912245358 Alison Brody Alpert Counselor - Pastoral 1115 Broadway Fl 12, New York, NY 10010-3452 2013-01-18
1255868634 Maya E Kunofsky Np Psychiatry PC Point of Service 1115 Broadway Fl 12, New York, NY 10010-3452 2017-05-17
1558841577 Bo Sun Massage Therapist 1115 Broadway Fl 12, New York, NY 10010-3452 2018-08-20
1730423617 Kristin Pleines Counselor - Mental Health 1115 Broadway Fl 12, New York, NY 10010-3452 2012-11-16
1578180410 Manhattan Play Therapy Lcsw Pllc Social Worker - Clinical 1115 Broadway Fl 12, New York, NY 10010-3452 2020-06-26
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1811294432 Robert York Counselor - Mental Health 1115 Broadway Ste 1273, New York, NY 10010-3452 2011-02-16

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1487182390 Sori Palacio Specialist 4 Lexington Avenue, Apt 8c, New York, NY 10010 2017-05-23
1619589553 Christine Belanga Student in an Organized Health Care Education/Training Program 71 West 23rd St, Suite 1400, New York, NY 10010 2020-08-21
1144703687 Kimmy Ramotar Psychologist - Clinical 115 E 23rd Street, 3rd Floor, #1513, New York, NY 10010 2018-09-11
1437688637 Nicole Kabalkin Social Worker 41 Madison Avenue, Suite 2541, New York, NY 10010 2017-06-09
1336628981 Sali Elsaid Physical Therapist 60 Madison Ave Ste 1012, New York, NY 10010 2018-08-13
1184151433 Alex Sheen Dentist - Pediatric Dentistry 345 E 24th St # 9w, New York, NY 10010 2017-05-17
1033609623 Kenneth Allen Winfrey Respiratory Therapist, Registered - Critical Care 423 East 23rd Street, Respiratory Care Services, New York, NY 10010 2018-05-18
1487172482 Dominique Ann Williams Psychologist - School 295 Park Ave South, Apt# 17pho, New York, NY 10010 2017-08-30
1619521242 Kathleen Mary Quain Social Worker - Clinical 280 Park Avenue South, 17l, New York, NY 10010 2019-07-31
1134789084 Auth Acupuncture Pllc Acupuncturist 20 W.22nd St. Ground Floor, New York, NY 10010 2019-06-13
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Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy 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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1013598283 Sinead C Cowins Psychologist 127 W 83rd St, New York, NY 10024-0801 2021-04-19
1235719485 Ava Lindberg Psychologist 449 W 44th St Apt 3f, New York, NY 10036-4445 2021-04-12
1649856774 Jillian Marie Arenz Psychologist 245 W 101st St Apt 4, New York, NY 10025-4932 2021-03-19
1528650728 Levinson Psychology Services, Pllc · Therapy Services - Nyc Psychologist 301 E 79th St Apt 27h, New York, NY 10075-0946 2021-02-09
1083205132 Mariya Narizhnaya Psychologist 122 W 97th Street, Suite # 130, New York, NY 10025-1002 2021-02-01
1881283067 Melissa Wasserman Psychologist 16 E 41st St Ste 5b, New York, NY 10017-6217 2021-01-13
1013504257 Bari Schwartz Psychologist 140 W 86th St Ste 1b, New York, NY 10024-4034 2020-12-22
1407442809 Behr Psychology Pllc Psychologist 103 W 80th St Apt 4d, New York, NY 10024-7151 2020-12-19
1174126700 Kimberly Fishbach Psychologist 177 Prince St Fl 4, New York, NY 10012-2946 2020-11-17
1265031488 John Raymond Keefe Psychologist 205 E 95th St Apt 6c, New York, NY 10128-0233 2020-10-19
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Competitor

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City NEW YORK
Zip Code 10010

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Dataset Information

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

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.