Danielle Chantal Park

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

128591 Issued in CA

Practice address

727 Shasta St
Redwood City, CA 94063-2124

Phone

(650) 599-1071

NPI assigned

Jul 6, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1593993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641168000000",
    "number": "1124645239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 EPIC WAY UNIT 189",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951342796",
            "telephone_number": "408-605-8511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "727 SHASTA ST",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940632124",
            "telephone_number": "650-599-1071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "DANIELLE",
        "middle_name": "CHANTAL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-06",
        "last_updated": "2022-01-03",
        "certification_date": "2022-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "10398",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "128591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth S Papp, PA-C
• Eleni Pappas Hulman
• Heather Pappas, PT, OCS, CERT. DN
• Kathleen Nicole Parafinczuk, D.P.T
• Paramita Roy DDS Dental Corporation
• Jin Sook Park
• Mi Rae Park, PHARMD
• Laketha Marie Parker-Rodriguez, THERAPIST
• Suzannah Cazeneau Parker, PH.D.
• Julia Parmer, ACSW

• Marriage & Family Therapist in Redwood City, CA
• Providers in Redwood City, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2022; 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.