William Brian Parks, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY002636 Issued in GA

Practice address

1886 Canoe RDG NW
Kennesaw, GA 30152-6209

Phone

(770) 324-5787

NPI assigned

Aug 26, 2013

Sex

Male

Sole proprietor

Yes

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

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

{
    "created_epoch": "1377475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377475200000",
    "number": "1285068288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1886 CANOE RDG NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301526209",
            "telephone_number": "770-324-5787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1886 CANOE RDG NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301526209",
            "telephone_number": "770-324-5787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKS",
        "first_name": "WILLIAM",
        "middle_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-08-26",
        "last_updated": "2013-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "PSY002636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Millie N Parekh
• Park Robert Mitchell, M.D.
• Sanghyun Park, DMD
• Brandon Scott Parker, DC
• Kenneth S Parker, DO
• Felicia Parrish, RN
• Partners in Wellness LLC
• Hilere Welch Pasley
• Passport Health Holdings, LLC
• Amisha Patel, MD

• Clinical Psychologist in Kennesaw, GA
• Providers in Kennesaw, GA by specialty
• Clinical Psychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2013; 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.