Robert Park, PSY.D

ActiveIndividual ProviderPsychologist
NPI issued: December 13, 2006

Quick Facts

NPI Number
1053472605
TypeIndividual
StatusActive
SpecialtyPsychologist
Taxonomy103T00000X — Psychologist
Phone
(209) 476-5211
StateCA

NPI Validation Status: Verified

✅Valid 10-digit NPI number (1053472605)
✅Active status confirmed
✅Verified by CMS NPPES Registry
✅HIPAA compliant identifier
✅Enumeration date on file (December 13, 2006)
Data source: CMS NPPES

Provider Overview

ROBERT PARK, PSY.D is a Psychologist provider based in Stockton, CA who has been registered with CMS since 2006. They are affiliated with The Permanente Medical Group. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1053472605
Provider TypeIndividual Provider
GenderMale
CredentialPSY.D
StatusActive
Enumeration DateDecember 13, 2006

Practice Location

CityStockton
StateCA
ZIP Code95210-3364
Phone(209) 476-5211

Specialties & Licenses

★ Primary
SpecialtyPsychologist
Taxonomy Code103T00000X
License StateCA

Mailing Address

CityStockton
StateCA
ZIP Code95210-3364
Phone(209) 476-5211
Same as practice location

Hospital & Organization Affiliations

🏢

The Permanente Medical Group

📍 Antioch, CA

Hospital NPIY→

How to Use This NPI

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For Insurance Billing

Use NPI 1053472605 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1053472605for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1053472605 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Psychologist

Specialists in Psychologist provide expert clinical care within their specific domain, focusing on the diagnosis, treatment, and management of conditions relevant to their field of practice.

Browse all Psychologistproviders →
📊
57,018
Psychologist Providers in the US

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People Also Ask

What is Robert Park's NPI number?
Robert Park's NPI number is 1053472605, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Robert Park's NPI currently active?
Yes, Robert Park's NPI status is Active as of the latest CMS NPPES database updates.
What does Robert Park specialize in?
Robert Park specializes in Psychologist. The healthcare taxonomy code associated with this specialty is 103T00000X.
Where does Robert Park practice?
Robert Park practices in Stockton, CA 95210-3364.
When was Robert Park's NPI issued?
Robert Park's NPI was issued on December 13, 2006.
What is Robert Park's provider type?
Robert Park is registered as an Individual Provider under CMS NPI Type 1.