Wendi H Park, MSPED

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

BA-38 Issued in HI

Practice address

94-450 Mokuola St Ste 100
Waipahu, HI 96797-3388

Phone

(808) 944-2882

NPI assigned

Oct 6, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hawaii Behavioral Health, LLC

  • Marriage & Family Therapist
  • Honolulu, HI
  • NPI 1699430777
  NPD (past)
• Hawaii Behavioral Health, LLC

  • Community/Behavioral Health Agency
  • Honolulu, HI
  • NPI 1881742104
  NPD (past)

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

{
    "created_epoch": "1223251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684108800000",
    "number": "1396996583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 PIIKOI ST",
            "address_2": "#105",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968143116",
            "telephone_number": "808-381-3549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94-450 MOKUOLA ST STE 100",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967973388",
            "telephone_number": "808-944-2882"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1330 Ala Moana Blvd Ste 1",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968144262",
            "country_code": "US",
            "telephone_number": "808-585-1424",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "91-1180 Midway Rd",
            "address_purpose": "LOCATION",
            "city": "Kapolei",
            "state": "HI",
            "postal_code": "96707",
            "country_code": "US",
            "telephone_number": "808-682-5496",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARK",
        "first_name": "WENDI",
        "middle_name": "H",
        "name_prefix": "Ms.",
        "credential": "MSPED",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-06",
        "last_updated": "2023-05-15",
        "certification_date": "2022-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "HI",
            "license": "BA-38",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Parent Child Development Center Waipahu
• Parent Child Development Center Waipahu
• Lucas Patrick Parenti, DPT, PT
• Edward Parish
• Levi Kamuela Park, PSY.D.
• Katelyn Parker, RBT
• Isabelle Parsley
• Jessika Partin
• Mila Pasamonte, CNA
• Tristin Venice Pasano, RBT

• Behavior Analyst in Waipahu, HI
• Providers in Waipahu, HI by specialty
• Behavior Analyst in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2023; 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.