Andrew L. Parker, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY18301 Issued in CA

Practice address

3 Madrona St
#3A
Mill Valley, CA 94941-1845

Phone

(415) 717-0921

NPI assigned

Aug 20, 2009

Last updated

Aug 20, 2009By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1250726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250726400000",
    "number": "1710119011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 LARKSPUR PLAZA DR",
            "city": "LARKSPUR",
            "state": "CA",
            "postal_code": "949391452",
            "telephone_number": "415-717-0921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 MADRONA ST",
            "address_2": "#3A",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949411845",
            "telephone_number": "415-717-0921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "ANDREW",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-08-20",
        "last_updated": "2009-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY18301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kory Okun Orlanski
• Clodagh Orton, MA
• P.L.a.Y. (Psychology, Learning & You)
• Matthew Paley, DO
• Yolanda Paredes, ND
• Tyler James Parkerson
• Neka Pasquale, L.AC.
• Susan Pauly-O'Neill, NP
• Pediatric Alternatives
• Sangitapriya Pedro, N.D.

• Clinical Psychologist in Mill Valley, CA
• Providers in Mill Valley, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2009; 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.