Shanelle D Parks

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

2825 3Rd Ave Ste 402
Bronx, NY 10455-4073

Phone

(718) 520-8000

Fax

(212) 228-9820

NPI assigned

Apr 5, 2024

Last updated

Apr 5, 2024By the provider in NPPES

Sex

Female

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)

Not enrolled

Practice roles

Locations

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.

• Athenapsych LLC

  • Psychiatry Physician
  • Bronx, NY
  • NPI 1679244768
  NPD

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

{
    "created_epoch": "1712275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712275200000",
    "number": "1285486878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11629 SEAVIEW AVE APT 2H",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112392630",
            "telephone_number": "347-387-4241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2825 3RD AVE STE 402",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104554073",
            "telephone_number": "718-520-8000",
            "fax_number": "212-228-9820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKS",
        "first_name": "SHANELLE",
        "middle_name": "D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-05",
        "last_updated": "2024-04-05",
        "certification_date": "2024-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Nicole Parks, MD
• Christen Parks
• Georgette E. Parks, TEACHER
• Paulette Dorick Parks, LPN
• Rachel Parks, MD
• Tashawna Parks
• Parkview Hfa, Inc. (Parkview Home Care)
• Parkway Medical & Rehabilitation, PC
• Nicole Marie Parliament
• Deval Maheshbhai Parmar, PT

• Mental Health Counselor in Bronx, NY
• Providers in Bronx, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2024; 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.