Megan Michelle Park, M.A., LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFC 44776 Issued in CA

Practice address

715 N Central Ave
Suite 108
Glendale, CA 91203-4262

Phone

(323) 599-7668

Fax

(818) 484-8177

NPI assigned

Mar 7, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238716800000",
    "number": "1356472062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 N CENTRAL AVE",
            "address_2": "SUITE 108",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912034262",
            "telephone_number": "323-599-7668",
            "fax_number": "818-484-8177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 N CENTRAL AVE",
            "address_2": "SUITE 108",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912034262",
            "telephone_number": "323-599-7668",
            "fax_number": "818-484-8177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "MEGAN",
        "middle_name": "MICHELLE",
        "credential": "M.A., LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-07",
        "last_updated": "2009-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 44776",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "9713251",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CALIFORNIA",
            "identifier": "MFT447760",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Parisa Pourzand MD Inc
• Grace Park-Noh, PHD
• Allison H. Park, O.D.
• Holly Park, BCBA
• Kay Loren Park, M.D.
• Robert B Park, LVN
• Samuel Park, M.D.
• Parker Valley Emergency Physicians Medical Group Inc
• Gregory Stacy Parker II
• Kevin E Parker, LCSW

• Marriage & Family Therapist in Glendale, CA
• Providers in Glendale, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2009; 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.