Judy C Park, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1232 Issued in AL

Practice address

7500 Memorial Pkwy SW Ste 215C
Huntsville, AL 35802-2200

Phone

(256) 883-3231

Fax

(256) 883-9577

NPI assigned

Feb 9, 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 1

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Head Space Therapy Center

  • Clinical Psychologist
  • Huntsville, AL
  • NPI 1144071986
  Medicare reassignment NPD Authorized official
• Behavioral Sciences of Alabama Inc

  • Community/Behavioral Health Agency
  • Huntsville, AL
  • NPI 1942573100
  Medicare reassignment NPD

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497896567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 MEMORIAL PKWY SW STE 215C",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358022200",
            "telephone_number": "256-883-3231",
            "fax_number": "256-883-9577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 MEMORIAL PKWY SW STE 215C",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358022200",
            "telephone_number": "256-883-3231",
            "fax_number": "256-883-9577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "JUDY",
        "middle_name": "C",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AL",
            "license": "1232",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "51513561",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Comer Parham, PA-C
• Hemil S Parikh, M.D.
• Emily King Parish
• Parity Health Information and Technology
• Park Counseling & Consulting, LLC
• Julia Park
• Arthur Kent Parker
• Carla Parker, RN
• Charlotte A Parker, CRNA
• Christopher Todd Parker

• Clinical Psychologist in Huntsville, AL
• Providers in Huntsville, AL by specialty
• Clinical Psychologist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.