Catherine Lee Park, MS, BSL

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

BH001761 Issued in PA

Practice address

993 Roundhouse CT
West Chester, PA 19380-1789

Phone

(215) 796-0695

NPI assigned

Mar 11, 2020

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science - Law, Master of Science

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 11, 2020.

{
    "created_epoch": "1583884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583884800000",
    "number": "1497380273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "993 ROUNDHOUSE CT",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193801789",
            "telephone_number": "215-796-0695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "993 ROUNDHOUSE CT",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193801789",
            "telephone_number": "215-796-0695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "CATHERINE",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "MS, BSL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-11",
        "last_updated": "2020-03-11",
        "certification_date": "2020-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "PA",
            "license": "BH001761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pooja Parekh, OTR/L
• Benedict Parenti, DDS
• Morgan Parise, SLP
• Park Lane at Bellingham
• Park Lane Post Acute LLC
• Jennifer Parker, CRNP
• Katherine Parker
• Brynn Parkin
• Melissa M Parsons
• Richard Dean Parsons, PH.D.

• All providers in West Chester, PA
• Behavior Analyst in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2020; 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.