Active NPI
Steevie Jane Parks, PH.D., L.P. H.S.P.
- Clinical Psychologist
- Carrboro, NC
National Provider Identifier
1306924543
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- NC#2333
- Practice address
- 304 Springvalley Rd
Carrboro, NC 27510-1241 - Phone
- (919) 918-1014
- NPI assigned
- Nov 2, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | NC#2333 | NC | Primary |
Addresses
Primary practice location
304 Springvalley Rd
Carrboro, NC 27510-1241
Mailing address
304 Springvalley Rd
Carrboro, NC 27510-1241
Phone (919) 918-1014
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6000474 | Medicaid | NC |
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NC#2333 | NC | MD | Clinical Psychologist |
| 2333 | NC | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1306924543",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "304 SPRINGVALLEY RD",
"city": "CARRBORO",
"state": "NC",
"postal_code": "275101241",
"telephone_number": "919-918-1014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "304 SPRINGVALLEY RD",
"city": "CARRBORO",
"state": "NC",
"postal_code": "275101241",
"telephone_number": "919-918-1014"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARKS",
"first_name": "STEEVIE",
"middle_name": "JANE",
"name_prefix": "Dr.",
"credential": "PH.D., L.P. H.S.P.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-02",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NC",
"license": "NC#2333",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6000474",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Carrboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.