Daniel Richard Parker, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY14606 Issued in CA

Practice address

490 S. Farrell Drive
Suite C207
Palm Springs, CA 92262

Phone

(760) 799-2016

NPI assigned

Dec 11, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1260489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461974400000",
    "number": "1174852628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 SOUTH PALM CANYON DRIVE",
            "address_2": "SUITE 7554",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "92264",
            "telephone_number": "760-799-2004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490 S. FARRELL DRIVE",
            "address_2": "SUITE C207",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "92262",
            "telephone_number": "760-799-2016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "DANIEL",
        "middle_name": "RICHARD",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-12-11",
        "last_updated": "2016-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY14606",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301010562",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "7511",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandon Kevin Pardosi, PA-C
• Jane Di Angelo Pardy
• Heesung Kevin Park, MD
• James M. Park, MD
• Matthew Allen Parke, PMHNP
• Jennifer Parks, CMT
• Abigail Parmelee
• Jaime Parris
• Shaudee Parvinjah, M.D.
• Passionwise Referral Home Care Agency LLC

• Clinical Psychologist in Palm Springs, CA
• Providers in Palm Springs, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2016; 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.