Park Psychiatry PLLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

DO1568 Issued in NV

Legal business name

PARK PSYCHIATRY PLLC

Practice address

7345 S Durango Dr
B107/220
Las Vegas, NV 89113-3653

Phone

(702) 685-0674

Fax

(702) 566-4575

NPI assigned

Apr 26, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Daniel Park, DO

Title

Owner

Phone

(702) 685-0674

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1366934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366934400000",
    "number": "1881038370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7345 S DURANGO DR",
            "address_2": "B107/220",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891133653",
            "telephone_number": "702-685-0674",
            "fax_number": "702-566-4575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7345 S DURANGO DR",
            "address_2": "B107/220",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891133653",
            "telephone_number": "702-685-0674",
            "fax_number": "702-566-4575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK PSYCHIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-26",
        "last_updated": "2013-04-26",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-685-0674",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NV",
            "license": "DO1568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carina Parisey
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• Thomas Parisi, M.D.
• Park Family Eyecare 2 (Eleven Optometry)
• Park Family Eyecare Inc.
• Julie S Park-Chang, O.D.
• Allen Park, PA-C
• Anne Park, FNP
• Bo Park, OTD
• Bu Soon Park

• Psychiatry Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Psychiatry Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2013; 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.