Angela Park

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Practice address

990 Ala Nanala St Apt 32C
Honolulu, HI 96818-2965

Phone

(808) 302-5717

NPI assigned

Oct 26, 2024

Reactivated

Mar 28, 2025

Last updated

Mar 28, 2025By 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

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

{
    "created_epoch": "1729900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743120000000",
    "number": "1417779018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "990 ALA NANALA ST APT 32C",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968182965",
            "telephone_number": "808-302-5717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "990 ALA NANALA ST APT 32C",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968182965",
            "telephone_number": "808-302-5717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "ANGELA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-26",
        "last_updated": "2025-03-28",
        "certification_date": "2024-10-26",
        "deactivation_date": "2025-02-25",
        "reactivation_date": "2025-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George Parish
• Erika Parisien
• Park Physical Therapy, LLC
• Allison Park, RN, BSN
• Amanda Park
• Angelyn Seol Park, PHARM D
• Carley Park
• Chan W. Park, M.D.
• Charlotte Park, DO
• Chay Linn N Park, PSY.D.

• Marriage & Family Therapist in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Marriage & Family Therapist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2025; 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.