PARKS ASSOCIATES, P.C. (NPI# 1518126721) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518126721 |
| Entity Type | Organization |
| Organization Name | PARKS ASSOCIATES, P.C. |
| Practice Address |
6337 Central Ave Portage IN 46368-3801 |
| Practice Telephone | 2197631499 |
| Practice Fax Number | 2197647025 |
| Mailing Telephone | 2197631499 |
| Mailing Fax Number | 2197647025 |
| Enumeration Date | 2008-06-03 |
| Last Update Date | 2008-06-03 |
| Authorized Official Name | DR. DAVID W. PARKS (PRESIDENT) |
| Authorized Official Telephone | 2197631499 |
| Authorized Official Credential | PSY.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
20040984A | IN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200049630B | 05 |
| Street Address |
6337 CENTRAL AVE |
| City | PORTAGE |
| State | IN |
| Zip Code | 46368-3801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285702548 | David W. Parks | Psychologist | 6337 Central Ave, Portage, IN 46368-3801 | 2006-12-02 |
| 1659819431 | Sara Veldhuizen | Counselor | 6337 Central Ave, Portage, IN 46368-3801 | 2017-02-01 |
| 1194965392 | Shifting Tides, LLC | Psychologist | 6337 Central Ave, Portage, IN 46368-3801 | 2009-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366041121 | Latresa Renee Sims | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1777 Armstrong St. Suite C., Portage, IN 46368 | 2020-10-22 |
| 1831576693 | Bishara Robert Khoury | Family Medicine | 3545 Arbor Blvd Ste E, Portage, IN 46368 | 2015-04-30 |
| 1962813535 | Diane Farrington | Pharmacist | 6050 Us Hwy 6, Portage, IN 46368 | 2014-05-16 |
| 1588827562 | Jennifer Ann Rumpel | Allergy & Immunology | 6375 Us Highway 6 Ste C, Portage, IN 46368 | 2008-07-09 |
| 1588822688 | Total Renal Care Inc | Clinic/Center | 5823 Us Highway 6, Portage, IN 46368 | 2008-05-27 |
| 1235321480 | Michael Wendahl | Physical Therapist | 3691 Willowcreek Road, Suite 100, Portage, IN 46368 | 2007-08-13 |
| 1679663603 | Stephen V Headley | Family Medicine | 3283 Willowcreek Rd, Portage, IN 46368 | 2006-10-13 |
| 1730276486 | Robert Tan Ang | Psychiatry & Neurology | 3156 Willowcreek Road, Portage, IN 46368 | 2006-10-06 |
| 1013029883 | Primary Care PC | Family Medicine | 3125 Willowcreek Road, Portage, IN 46368 | 2006-08-31 |
| 1104936962 | Margaret Eileen Griffith | Dentist | 2646 Lois Street, Portage, IN 46368 | 2006-08-30 |
| Find all providers in zip 46368 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083213631 | Robert J. Sheppard Phd Pllc | Psychologist | 8339 Brookwood Dr, Portage, MI 49024-5207 | 2020-10-23 |
| 1689965329 | Carolyn J Heineman Phd LLC | Psychologist | 5228 Lovers Ln, Suite 104, Portage, MI 49002-1521 | 2011-04-28 |
| 1609994029 | Robert Alan Rodenhiser | Psychologist | 1611 W Centre, Suite 203, Portage, MI 49024 | 2007-03-26 |
| 1497899801 | Susan Christine Baird | Psychologist | 8036 Moorsbridge Rd., Suite 2, Portage, MI 49024-4419 | 2007-02-18 |
| 1285702548 | David W. Parks | Psychologist | 6337 Central Ave, Portage, IN 46368-3801 | 2006-12-02 |
| 1720015985 | Joel Schwartz | Psychologist | 5877 Central Ave Ste A, Portage, IN 46368-2920 | 2006-06-26 |
| 1609837855 | Linda L Hill | Psychologist | 3141 Willowcreek Rd, Suite F, Portage, IN 46368-4468 | 2006-03-29 |
| 1215914304 | Steven Glen Townsend | Psychologist | 8928 Portage Rd, Portage, MI 49002-6420 | 2005-12-29 |
| 1558342030 | Patricia Moulton Guilford | Psychologist | 5930 Lovers Ln, Portage, MI 49002-1673 | 2005-11-10 |
| 1730176587 | John Michael Spores | Psychologist | 3349 Willowcreek Rd, Portage, IN 46368-5015 | 2005-10-05 |
| Find all providers in PORTAGE | ||||
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| 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.