Park Behavioral Health

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

PARK BEHAVIORAL HEALTH

Practice address

20600 Eureka Rd Ste 819
Taylor, MI 48180-5377

Phone

(734) 285-8282

NPI assigned

May 24, 2017

Organization subpart

No

Name

Greta Park, MD

Title

Owner

Phone

(734) 417-2487

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 17, 2018.

{
    "created_epoch": "1495584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1124556956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29260 FRANKLIN RD APT 304",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480341157",
            "telephone_number": "313-346-3717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20600 EUREKA RD STE 819",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481805377",
            "telephone_number": "734-285-8282"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 William Carls Dr",
            "address_purpose": "LOCATION",
            "city": "Commerce Township",
            "state": "MI",
            "postal_code": "483822201",
            "country_code": "US",
            "telephone_number": "248-937-3300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PARK BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-24",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "GRETA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-417-2487",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Ann Palmer, LPC
• Stefan Nicholas Papandreou, DO
• Par Wick Pharmacy LLC
• Paramount Performance (Hatch Doula Service)
• Pardee Foot Clinic
• Park Nursing Center of Taylor, LLC
• Park Place Family Practice & Internal Medicine
• Lawsen Parker, DO
• John Tyler Parmer, OD
• Kristy Parol

• All providers in Taylor, MI
• Psychiatry Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.