Eon R Parks, MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

116742-01 Issued in NY

Practice address

21824 136TH Ave
Springfield Gardens, NY 11413-2247

Phone

(718) 527-0606

NPI assigned

Jul 25, 2022

Last updated

Jul 25, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Martin de Porres Group Homes

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Springfield Gardens, NY
  • NPI 1629163563
  NPD (past)

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

{
    "created_epoch": "1658707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658707200000",
    "number": "1598491433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21824 136TH AVE",
            "city": "SPRINGFIELD GARDENS",
            "state": "NY",
            "postal_code": "114132247",
            "telephone_number": "718-527-0606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21824 136TH AVE",
            "city": "SPRINGFIELD GARDENS",
            "state": "NY",
            "postal_code": "114132247",
            "telephone_number": "718-527-0606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKS",
        "first_name": "EON",
        "middle_name": "R",
        "credential": "MFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-25",
        "last_updated": "2022-07-25",
        "certification_date": "2022-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NY",
            "license": "116742-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "eparks@mdpyfs.org",
            "affiliation": "N",
            "endpointDescription": "Allows for All NYS Foster Care Providers to confidentially share information",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Tracking Case Worker Notes",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Abuse and Neglect Information",
            "address_1": "21824 136th Ave",
            "city": "Springfield Gardens",
            "state": "NY",
            "country_code": "US",
            "postal_code": "114132247",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Femi Pakeera-Alfred
• Andrea Palmer, NP
• Kaliopi Panagos, PHARM.D., R.PH.
• Tanya Renee Panton, MD
• Evey Parchment
• Passion to Purpose Consulting, LLC
• Patience and Wellness, Inc.
• Violette Marie Patrick, RN
• Metushela Paurice
• Glea Vanessa Duenas Pavillar

• Marriage & Family Therapist in Springfield Gardens, NY
• Providers in Springfield Gardens, NY by specialty
• Marriage & Family Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2022; 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.