David Ralph Parker, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY2490 Issued in FL

Practice address

1133 Louisiana Ave
Suite 207
Winter Park, FL 32789-2350

Phone

(407) 574-8763

Fax

(407) 574-8822

NPI assigned

Nov 14, 2006

Last updated

Aug 28, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• David R Parker PHD PLC

  • Clinical Psychologist
  • Winter Park, FL
  • NPI 1942499835
  Authorized official Same address or phone

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503878400000",
    "number": "1174695431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 547422",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328547422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1133 LOUISIANA AVE",
            "address_2": "SUITE 207",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327892350",
            "telephone_number": "407-574-8763",
            "fax_number": "407-574-8822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "DAVID",
        "middle_name": "RALPH",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2017-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY2490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexis Pardo, LCSW
• Michelle Nadhezda Pareja, BSW
• Phillip Gregory Paris
• Park Avenue Ophthalmics, PLLC (Winter Park Ophthalmology)
• David Park Jr.
• Kelli Ann Parker
• Kyli Parker
• Parkview Rehabilitation Center at Winter Park LLC
• Lena Partynska Dinh, PT
• Magdalena Pasarica, M.D.,PHD

• Clinical Psychologist in Winter Park, FL
• Providers in Winter Park, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2017; 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.