Sonya Park, PH.D

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY29460 Issued in CA

Practice address

112 E Amerige Ave # 341
Fullerton, CA 92832-1920

Phone

(909) 979-1338

NPI assigned

Aug 24, 2012

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1345766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689120000000",
    "number": "1588912547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1308 CAMEO LN",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928312510",
            "telephone_number": "909-979-1338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 E AMERIGE AVE # 341",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928321920",
            "telephone_number": "909-979-1338"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8 Corporate Park Ste 300",
            "address_purpose": "LOCATION",
            "city": "Irvine",
            "state": "CA",
            "postal_code": "926065196",
            "country_code": "US",
            "telephone_number": "310-560-9335",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3349 Michelson Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Irvine",
            "state": "CA",
            "postal_code": "926128881",
            "country_code": "US",
            "telephone_number": "909-979-1338",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13130 Burbank Blvd",
            "address_purpose": "LOCATION",
            "city": "Sherman Oaks",
            "state": "CA",
            "postal_code": "914016037",
            "country_code": "US",
            "telephone_number": "877-943-5747",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARK",
        "first_name": "SONYA",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-24",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY29460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Priscilla Park
• Sarah Park
• Sean K Park, D.D.S.
• Siwan Park
• Soeun Park, PHD
• Sook Kyung Park
• Sung Ah Park, LAC, PHD, QME
• Sungjin James Park, D.M.D.
• Susan Hahn Park, MA, CCC-SLP
• Yong Joon Caleb Park

• Clinical Psychologist in Fullerton, CA
• Providers in Fullerton, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 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.