John S. Parke, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY18990 Issued in CA

Practice address

1053 Alameda de Las Pulgas
Belmont, CA 94002-3507

Phone

(510) 282-8089

Fax

(510) 465-2537

NPI assigned

Oct 18, 2006

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

Other names 1

• Dr. John S. Parke Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210032000000",
    "number": "1740361476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1438 LAKESHORE AVE APT 1",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946061644",
            "telephone_number": "510-282-8089",
            "fax_number": "510-465-2537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1053 ALAMEDA DE LAS PULGAS",
            "city": "BELMONT",
            "state": "CA",
            "postal_code": "940023507",
            "telephone_number": "510-282-8089",
            "fax_number": "510-465-2537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKE",
        "first_name": "JOHN",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2008-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY18990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOHN",
            "last_name": "PARKE",
            "middle_name": "S.",
            "prefix": "DR.",
            "credential": "PSY.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Stacy Paula Ourique
• Robin Lee Page
• Stephanie Paquin, LMFT
• Irma Michelle Paredes
• Soyon Park, PH.D.
• Dharmesh Patel, M.D.
• Patricia Kim (Belmont Optique)
• Pediatric Wellness Partners, a Professional Nursing Corporation
• Penguinsmart Inc.
• Peninsula Convalescent Associates LLC (Carlmont Gardens Nursing Center)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2008; 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.