MS. AMY PARK (NPI# 1174856652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174856652 |
| Entity Type | Individual |
| Full Name | MS. AMY PARK |
| Other Name | MISS AMY KIM |
| Credential | M.S., M.A. |
| Practice Address |
15317 Rayen St North Hills CA 91343-5117 |
| Practice Telephone | 8188923423 |
| Practice Fax Number | 8188934509 |
| Mailing Telephone | 8188923423 |
| Mailing Fax Number | 8188934509 |
| Enumeration Date | 2009-09-15 |
| Last Update Date | 2013-03-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDI-CAL | #95-2633765 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205437456 | Amy Y Park | Family Medicine | 714 31st St, Union City, NJ 07087-2427 | 2020-11-04 |
| 1194382143 | Amy Park | Behavior Technician | 2016 S Washington St, Grand Forks, ND 58201-6342 | 2019-05-24 |
| 1013404623 | Amy Kangme Park | Student in an Organized Health Care Education/Training Program | 240 Meeting House Ln, Southampton, NY 11968-5009 | 2018-04-18 |
| 1922333004 | Amy Leanne Park | Optometrist | 10800 Magnolia Avenue, Riverside, CA 92505 | 2009-10-07 |
| 1831366889 | Amy Marie Park | Obstetrics & Gynecology | 7740 Washington Village Dr, Suite 100, Centerville, OH 45459-4056 | 2008-05-09 |
| 1053328625 | Amy Park | Obstetrics & Gynecology | 106 Irving St Nw, Suite 405 South, Washington, DC 20010-2927 | 2006-08-03 |
| 1306811534 | Amy H Park | Psychologist | 9040 Jackson Ave, Tacoma, WA 98431-2871 | 2006-02-21 |
| Street Address |
15317 RAYEN ST |
| City | NORTH HILLS |
| State | CA |
| Zip Code | 91343-5117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073682738 | Sara Diane Chappell | Marriage & Family Therapist | 15317 Rayen St, North Hills, CA 91343-5117 | 2006-11-07 |
| 1982041786 | Lynnell Jane Holtby | Marriage & Family Therapist | 15317 Rayen St, North Hills, CA 91343-5117 | 2013-06-03 |
| 1396088597 | Karina Piza | Case Manager/Care Coordinator | 15317 Rayen St, North Hills, CA 91343-5117 | 2013-04-05 |
| 1730420068 | Danielle Breanna Padilla | Marriage & Family Therapist | 15317 Rayen St, North Hills, CA 91343-5117 | 2013-03-12 |
| 1073854436 | Jason Gregory Cobb | Marriage & Family Therapist | 15317 Rayen St, North Hills, CA 91343-5117 | 2013-03-11 |
| 1346588928 | Michelle Vergara | Rehabilitation Practitioner | 15317 Rayen St, North Hills, CA 91343-5117 | 2013-01-16 |
| 1215272216 | Amanda B. Mejia Coffman | Marriage & Family Therapist | 15317 Rayen St, North Hills, CA 91343-5117 | 2012-12-01 |
| 1114261583 | Joana Maricela Gonzalez | Rehabilitation Practitioner | 15317 Rayen St, North Hills, CA 91343-5117 | 2012-11-24 |
| 1427300920 | Darlene Balcom | Student in an Organized Health Care Education/Training Program | 15317 Rayen St, North Hills, CA 91343-5117 | 2012-10-08 |
| 1245588714 | Megan Michelle Benton | Marriage & Family Therapist | 15317 Rayen St, North Hills, CA 91343-5117 | 2012-08-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487261681 | Esperanza Armenta | Case Manager/Care Coordinator | 16861 Parthenia Street, North Hills, CA 91343 | 2020-09-30 |
| 1295355758 | Island One and Associates | Social Worker | 9528 Lemona Ave, North Hills, CA 91343 | 2020-04-24 |
| 1154951416 | Estefanie Ramos | Case Manager/Care Coordinator | 16861 Parthenia St., North Hills, CA 91343 | 2020-01-24 |
| 1336793728 | Mitra Minovi | Dentist | 9444 Ruffner Ave, Northridge, CA 91343 | 2019-07-24 |
| 1649762600 | Reza Akbar, Dds, Inc. | Dentist | 15300 Parthenia St, North Hills, CA 91343 | 2018-06-05 |
| 1073002663 | Golmah Zarinkhou | Student in an Organized Health Care Education/Training Program | Va Sepulveda Ambulatory Care Center, 16111 Plummer, Street Dental Services (160), Bldg 10 Rm 1c-100, North Hills, CA 91343 | 2018-05-09 |
| 1740729037 | Ophelia Sanchez | Case Manager/Care Coordinator | 15305 Rayen, North Hills, CA 91343 | 2017-02-20 |
| 1386001519 | Ada Angeles | Dietitian, Registered | 15210 Parthenia, North Hills, CA 91343 | 2016-01-19 |
| 1043691371 | Valley Grace Home, Inc. | Skilled Nursing Facility | 16052 Chase St, North Hills, CA 91343 | 2015-06-11 |
| 1063828234 | Joshua Tree Healthcare, Inc. | Home Health | 16909 Parthenia St Ste 302a, Northridge, CA 91343 | 2014-07-08 |
| Find all providers in zip 91343 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609477090 | Carla Rizo | Marriage & Family Therapist | 9710 Kester Ave, North Hills, CA 91343-2412 | 2020-11-03 |
| 1508231804 | Shanice Harris | Marriage & Family Therapist | 8338 Woodley Pl Unit 29, North Hills, CA 91343-6237 | 2015-12-11 |
| 1700222692 | Cynthia Elisa Seyerle | Marriage & Family Therapist | 9259 Hayvenhurst Ave, North Hills, CA 91343-3606 | 2013-05-17 |
| 1295937621 | Bolaji Adeleye | Marriage & Family Therapist | 15108 Tamarack Ct, North Hills, CA 91343-7823 | 2007-06-05 |
| 1548386055 | Geronimo Mendoza Sanchez | Marriage & Family Therapist | 15333 Rayen St., North Hills, CA 91343 | 2007-03-22 |
| 1396876769 | Tina Roya Hendizadeh | Marriage & Family Therapist | 15305 Rayen St., North Hills, CA 91343 | 2007-03-08 |
| 1073682738 | Sara Diane Chappell | Marriage & Family Therapist | 15317 Rayen St, North Hills, CA 91343-5117 | 2006-11-07 |
| 1669099289 | Jakuta M Ptah | Marriage & Family Therapist | 15305 Rayen St, North Hills, CA 91343-5117 | 2020-06-30 |
| 1376174466 | Nelson Mayen | Marriage & Family Therapist | 9119 Haskell Ave, North Hills, CA 91343-3121 | 2020-01-28 |
| 1679110472 | Lisa Christina Mello | Marriage & Family Therapist | 15305 Rayen St, North Hills, CA 91343-5117 | 2019-11-30 |
| Find all providers in NORTH HILLS | ||||
| City | NORTH HILLS |
| Zip Code | 91343 |
Please comment or provide details below to improve the information on MS. AMY PARK.
| 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.