Charles E Parker, DO

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

DO2981 Issued in ME

Practice address

21051 Warner Center Lane
Suite 230
Woodland Hills, CA 91367

Phone

(818) 610-3956

NPI assigned

Jul 18, 2005

Last updated

Feb 20, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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

• Innerchange Opi, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Woodland Hills, CA
  • NPI 1003543950
  NPD
• Thriveworks Clinical - California PC

  • Mental Health Counselor
  • Thousand Oaks, CA
  • NPI 1801481395

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740009600000",
    "number": "1689673253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1406",
            "city": "CAMDEN",
            "state": "ME",
            "postal_code": "04843",
            "telephone_number": "757-961-0606",
            "fax_number": "757-233-8499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21051 WARNER CENTER LANE",
            "address_2": "SUITE 230",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "91367",
            "telephone_number": "818-610-3956"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6275 E Virginia Beach Blvd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "VA",
            "postal_code": "235022851",
            "country_code": "US",
            "telephone_number": "757-961-0606",
            "fax_number": "757-233-8499",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARKER",
        "first_name": "CHARLES",
        "middle_name": "E",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-18",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0102026059",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "118281",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "ME",
            "license": "DO2981",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007154569",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Caroline Kim Park, M.D.
• Jaeheui Park, RPH
• Maxwell Choong Won Park, MD
• Susie K Park, PHARM.D.
• William Park, MD
• Christopher J Parker, DC
• Samantha Parker, LVN
• Karlo Parladyan, PHARMD
• Mary Akemi Parodi
• Daisy Gabriela Parra-Venegas

• Child & Adolescent Psychiatry Physician in Woodland Hills, CA
• Providers in Woodland Hills, CA by specialty
• Child & Adolescent Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.