Matthew Allen Parke, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

95024164 Issued in CA

Practice address

560 S Paseo Dorotea Ste 4a
Palm Springs, CA 92264-1434

Phone

(951) 346-3399

NPI assigned

Mar 1, 2023

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1677628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683590400000",
    "number": "1801595616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 S PASEO DOROTEA STE 4A",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922641434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 S PASEO DOROTEA STE 4A",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922641434",
            "telephone_number": "951-346-3399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKE",
        "first_name": "MATTHEW",
        "middle_name": "ALLEN",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-03-01",
        "last_updated": "2023-05-09",
        "certification_date": "2023-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95024164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bret Hart Papas, PT
• Brandon Kevin Pardosi, PA-C
• Jane Di Angelo Pardy
• Heesung Kevin Park, MD
• James M. Park, MD
• Daniel Richard Parker, PH.D.
• Jennifer Parks, CMT
• Abigail Parmelee
• Jaime Parris
• Shaudee Parvinjah, M.D.

• Psychiatric/Mental Health Nurse Practitioner in Palm Springs, CA
• Providers in Palm Springs, CA by specialty
• Psychiatric/Mental Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 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.