JUDY C PARK (NPI# 1497896567) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497896567 |
| Entity Type | Individual |
| Full Name | JUDY C PARK |
| Credential | PSYD |
| Practice Address |
7500 Memorial Pkwy Sw Ste 215c Huntsville AL 35802-2200 |
| Practice Telephone | 2568833231 |
| Practice Fax Number | 2568839577 |
| Mailing Telephone | 2568833231 |
| Mailing Fax Number | 2568839577 |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
1232 | AL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | BLUE CROSS BLUE SHIELD | 51513561 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265832547 | Judy Park | Pharmacist | 48 Walton Ct, Newtown, PA 18940-1863 | 2014-08-25 |
| 1316344187 | Judy Park | Pharmacist | 2020 Howell Mill Rd Nw, Atlanta, GA 30318-1732 | 2014-11-22 |
| 1770575953 | Judy D Park | Nurse Anesthetist, Certified Registered | 550 N Hillside St, Wichita, KS 67214-4910 | 2005-08-16 |
| Street Address |
7500 MEMORIAL PKWY SW STE 215C |
| City | HUNTSVILLE |
| State | AL |
| Zip Code | 35802-2200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538200605 | Aparna Vuppala | Psychiatry & Neurology | 7500 Memorial Pkwy Sw Ste 215c, Huntsville, AL 35802-2200 | 2007-02-09 |
| 1003959826 | Lee Ann Penman | Counselor | 7500 Memorial Pkwy Sw Ste 215c, Huntsville, AL 35802-2200 | 2007-02-14 |
| 1245372002 | Trinity Counseling Center | Counselor | 7500 Memorial Pkwy Sw Ste 215c, Huntsville, AL 35802-2200 | 2007-02-12 |
| 1902947815 | David L. Barnhart | Counselor | 7500 Memorial Pkwy Sw Ste 215c, Huntsville, AL 35802-2200 | 2007-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174187371 | Susan R. Bechert | Social Worker | Huntsville Psychotherapy and Counseling Services, 7540 S. Memorial Parkway, Suite W, Huntsville, AL 35802 | 2019-04-24 |
| 1932601416 | Crystal Gaskins | Nurse Practitioner | 700 Airport Road Suite D, Huntsville, AL 35802 | 2018-03-01 |
| 1073032736 | Emily Rachel Lapidus | Specialist/Technologist | 310 Devon Circle, Huntsville, AL 35802 | 2017-09-13 |
| 1467992727 | Thrive At Jones Farm | Assisted Living Facility | 2238 Cecil Ashburn Dr Se, Huntsville, AL 35802 | 2017-03-06 |
| 1922554641 | Acts Signature Community Services, Inc. | Internal Medicine | One Clubhouse Avenue, Huntsville, AL 35802 | 2016-09-01 |
| 1578018438 | Sarah Thompson | Marriage & Family Therapist | 116 Lily Flagg Rd Sw Ste D, Huntsville, AL 35802 | 2016-08-22 |
| 1124489166 | Nadine Wormsbacher | Massage Therapist | 919 Willowbrook Dr Suite D, Huntsville, AL 35802 | 2016-03-18 |
| 1962761486 | Alfred Lawrence Watson | Internal Medicine | 2112 Clubhouse Ave, Huntsville, AL 35802 | 2012-05-04 |
| 1992073449 | Susan Gosdin Weiler | Pharmacist | 2784 Carl T Jones Drive, Huntsville, AL 35802 | 2011-12-12 |
| 1518257823 | Bonnie Jo Ferguson | Pharmacist | 4096 Whitesburg Drive, Huntsville, AL 35802 | 2011-04-08 |
| Find all providers in zip 35802 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184100661 | Regroup Psychological Services | Psychologist | 2006 Franklin St. Se, Suite 110, Huntsville, AL 35801 | 2018-07-17 |
| 1972047900 | Christie Ledbetter | Psychologist | 7800 Madison Blvd Ste 703, Huntsville, AL 35806-2049 | 2016-12-09 |
| 1861783284 | Sarah Raynor Mccoy | Psychologist | 1015 Airport Rd Sw, Suite 204, Huntsville, AL 35802-1394 | 2011-04-20 |
| 1831380468 | John Gary Marshall | Psychologist | 3656 Violet Ln, Huntsville, TX 77340-8915 | 2007-08-08 |
| 1841349198 | William David Mcdonald | Psychologist | 106 Central Avenue Se, Huntsville, AL 35801 | 2007-01-09 |
| 1932256302 | Kenneth P. Sullivan | Psychologist | 1104 Gleneagles Dr Sw # B, Huntsville, AL 35801-6404 | 2007-01-05 |
| 1831265776 | Alabama Pain Center, LLC | Psychologist | 600 Whitesport Drive, Suite A, Huntsville, AL 35801 | 2006-11-24 |
| 1699864405 | Anthony Wayne Wilson | Psychologist | 2322 Pansy St Sw, Huntsville, AL 35801-3803 | 2006-10-11 |
| 1114979788 | Kathryn Allen | Psychologist | 209 Lincoln St Se, Huntsville, AL 35801-4189 | 2006-05-16 |
| 1487635769 | Joan Z Kerr | Psychologist | 106 Central Ave, Huntsville, AL 35801 | 2005-11-14 |
| Find all providers in HUNTSVILLE | ||||
| City | HUNTSVILLE |
| Zip Code | 35802 |
Please comment or provide details below to improve the information on JUDY C 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.