Active NPI
Albert Park, MSW
- Addiction (Substance Use Disorder) Counselor
- San Francisco, CA
National Provider Identifier
1154462273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Practice address
- 1035 Market St
Suite 400
San Francisco, CA 94103-1600 - Phone
- (415) 487-3113
- Fax
- (415) 558-9657
- NPI assigned
- Feb 9, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Primary | ||
| Mental Health Counselor | 101YM0800X | 25115 | CA |
Addresses
Primary practice location
1035 Market St
Suite 400
San Francisco, CA 94103-1600
Mailing address
1035 Market St
Suite 400
San Francisco, CA 94103-1600
Phone (415) 487-3113
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25115 | CA | MD | Case Manager/Care Coordinator |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1298332800000",
"number": "1154462273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1035 MARKET ST",
"address_2": "SUITE 400",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941031600",
"telephone_number": "415-487-3113",
"fax_number": "415-558-9657"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1035 MARKET ST",
"address_2": "SUITE 400",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941031600",
"telephone_number": "415-487-3113",
"fax_number": "415-558-9657"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARK",
"first_name": "ALBERT",
"name_prefix": "Mr.",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-09",
"last_updated": "2011-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "25115",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.