TIMOTHY D PARK (NPI# 1841602315) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841602315 |
| Entity Type | Individual |
| Full Name | TIMOTHY D PARK |
| Credential | D.O. |
| Practice Address |
801 Seneca St Ventura CA 93001-1411 |
| Mailing Address |
3010 Beard Rd Napa CA 94558-3442 |
| Practice Telephone | 8182819289 |
| Mailing Telephone | 8182819289 |
| Mailing Fax Number | 7072529325 |
| Enumeration Date | 2014-06-02 |
| Last Update Date | 2020-02-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | DO-04896 | IA | Allopathic & Osteopathic Physicians |
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
20A15960 | CA | Allopathic & Osteopathic Physicians |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
DO-04896 | IA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932494655 | Timothy Park | Surgery | 2051 Maregno St, Ipt, C5l100, Los Angeles, CA 90033 | 2011-06-09 |
| 1942832308 | Timothy C Park | Dentist | 2135 Cypress Ave, Los Angeles, CA 90065-1212 | 2020-02-04 |
| 1487210084 | Timothy Park | Student in an Organized Health Care Education/Training Program | 5645 Main St, Flushing, NY 11355-5045 | 2019-05-20 |
| 1508043977 | Timothy Park | Pharmacist | 598 Merrick Rd, Rockville Ctr, NY 11570-5445 | 2008-01-28 |
| Street Address |
801 SENECA ST |
| City | VENTURA |
| State | CA |
| Zip Code | 93001-1411 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639164312 | Allen Weaver Johnson | Pharmacist | 801 Seneca St, Ventura, CA 93001-1411 | 2005-09-19 |
| 1700426558 | Daniel Coulter, M.d. Inc. | Psychiatry & Neurology | 801 Seneca St, Ventura, CA 93001-1411 | 2020-01-09 |
| 1457992430 | Patient Centered Psychiatry, Inc | Psychiatry & Neurology | 801 Seneca St, Ventura, CA 93001-1411 | 2019-10-01 |
| 1376000190 | Kayeley Elisabeth Lyons | Counselor | 801 Seneca St, Ventura, CA 93001-1411 | 2019-02-28 |
| 1013495290 | Godwin Medical Group, Apc | Psychiatry & Neurology | 801 Seneca St, Ventura, CA 93001-1411 | 2018-07-31 |
| 1821576216 | Aurora Vista Del Mar, LLC | Psychiatric Hospital | 801 Seneca St, Ventura, CA 93001-1411 | 2018-07-30 |
| 1518359421 | Ronald D Sager,md Inc. | Psychiatry & Neurology | 801 Seneca St, Ventura, CA 93001-1411 | 2015-03-02 |
| 1972808756 | Michelle Lynn Angelo | Marriage & Family Therapist | 801 Seneca St, Ventura, CA 93001-1411 | 2011-01-25 |
| 1831396381 | Manju Sharma, Md Inc | Psychiatry & Neurology | 801 Seneca St, Ventura, CA 93001-1411 | 2007-06-28 |
| 1295955854 | Pilar Maria Marguerite Sumalpong | Psychologist | 801 Seneca St, Ventura, CA 93001-1411 | 2007-04-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952929739 | Christine Yana Barna | Counselor | 641 E Thompson Blvd, Ventura, CA 93001 | 2020-07-08 |
| 1477024222 | 4 Kids 2 Kids | Psychiatric Residential Treatment Facility | 9223 Nye Road, Ventura, CA 93001 | 2018-12-05 |
| 1578046884 | Michelle Aquino | Counselor | 2222 Channel Dr, Ventura, CA 93001 | 2018-09-12 |
| 1700379096 | Terrence Swanson | Counselor | 125 W Harrison Ave Apt A, Ventura, CA 93001 | 2018-06-11 |
| 1376055012 | Bridge & Temple Inc | Optometrist | 828 E Main Street, Ventura, CA 93001 | 2017-11-03 |
| 1578073763 | Karin Huang | Counselor | 2001, 28th St, Bakerfield, CA 93001 | 2017-10-03 |
| 1487170346 | Stephanie Martello | Counselor | 864 East Santa Clara Street, Ventura, CA 93001 | 2017-08-22 |
| 1477080885 | Isabel Ojeda-cobaruvias | Specialist/Technologist | 1234 E. Main Street, Ventura, CA 93001 | 2017-05-16 |
| 1902219413 | Julio Perez | Specialist/Technologist | 1234 Main St., Ventura, CA 93001 | 2014-06-03 |
| 1417380478 | Lacey Piper | Dietitian, Registered | 2841 Harbor Blvd., Ventura, CA 93001 | 2013-08-14 |
| Find all providers in zip 93001 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760623599 | Colleen Copelan, M.d. Inc | Psychiatry & Neurology | 970 South Petit Ave., Suite A, Ventura, CA 93004 | 2009-03-06 |
| 1790819175 | Ronald Dale Pollack | Psychiatry & Neurology | 3585 Maple St Ste 205, Ventura, CA 93003-9143 | 2007-03-15 |
| 1689710618 | Corazon Fernandez Corpus-elliott | Psychiatry & Neurology | 4258 Telegraph Rd, Ventura, CA 93003-3706 | 2007-01-29 |
| 1326129479 | Gregory Edward Gray | Psychiatry & Neurology | 1575 Spinnaker Dr, Suite 208, Ventura, CA 93001-4381 | 2006-10-17 |
| 1386751857 | Ronald Chas Thurston | Psychiatry & Neurology | 970 South Petit Ave, Ste A, Ventura, CA 93004 | 2006-08-23 |
| 1538192471 | Nomi Judith Fredrick | Psychiatry & Neurology | 5810 Ralston St, 2nd Floor, Ventura, CA 93003-5908 | 2006-07-07 |
| 1396713376 | Beena Anantharaman | Psychiatry & Neurology | 5740 Ralston St, Suite 200, Ventura, CA 93003-6051 | 2006-03-08 |
| 1700426558 | Daniel Coulter, M.d. Inc. | Psychiatry & Neurology | 801 Seneca St, Ventura, CA 93001-1411 | 2020-01-09 |
| 1801330345 | Jane Li Md Psychiatry, Inc. | Psychiatry & Neurology | 290 Maple Ct, Suite 107, Ventura, CA 93003-3517 | 2016-12-16 |
| 1366995433 | Michael Ryan Locher | Psychiatry & Neurology | 200 Hillmont Ave, Ventura, CA 93003-1647 | 2016-07-26 |
| Find all providers in VENTURA | ||||
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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.