Grace Park-Noh, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY18467 Issued in CA

Practice address

1545 Parway Dr
Glendale, CA 91206-1338

Phone

(626) 244-7876

NPI assigned

Jan 21, 2021

Sex

Female

Sole proprietor

Yes

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

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1611187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611187200000",
    "number": "1811587157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1545 PARWAY DR",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912061338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1545 PARWAY DR",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912061338",
            "telephone_number": "626-244-7876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK-NOH",
        "first_name": "GRACE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-21",
        "last_updated": "2021-01-21",
        "certification_date": "2021-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY18467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.drgraceparknoh.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1545 Parway Dr",
            "city": "Glendale",
            "state": "CA",
            "country_code": "US",
            "postal_code": "912061338",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Raul A Pardave, MD
• Luke Pardo
• Patrick Parehjan, D.C.
• Maria Mola Parent, PH.D
• Parisa Pourzand MD Inc
• Allison H. Park, O.D.
• Holly Park, BCBA
• Kay Loren Park, M.D.
• Megan Michelle Park, M.A., LMFT
• Robert B Park, LVN

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2021; 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.