David R Parker PHD PLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY2490 Issued in FL

Legal business name

DAVID R PARKER PHD PLC

Practice address

1133 Louisiana Ave
Suite 207
Winter Park, FL 32789-2350

Phone

(407) 574-8763

Fax

(407) 574-8822

NPI assigned

Oct 17, 2007

Organization subpart

No

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

Authorized official

Name

David Parker, PH.D.

Title

Psychologist/Owner

Phone

(407) 574-8763

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1192579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358467200000",
    "number": "1942499835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 547422",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328547422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1133 LOUISIANA AVE",
            "address_2": "SUITE 207",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327892350",
            "telephone_number": "407-574-8763",
            "fax_number": "407-574-8822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID R PARKER PHD PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-17",
        "last_updated": "2013-01-18",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PSYCHOLOGIST/OWNER",
        "authorized_official_telephone_number": "407-574-8763",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY2490",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF FLORIDA",
            "identifier": "75282",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kim Daum, ITDS
• Wendell Davenport
• David Carter, Psy.D., PLLC
• David J.D Woska M.D., PA
• David Medical LLC
• Ashleigh Laura David, FNP-BC
• Erika David, PA-C, ATC
• Margarita N David, M.D., M.B.A., FACMGG
• Sally A David, MA LMHC
• John Michael Davidyock, MD

• Clinical Psychologist in Winter Park, FL
• Providers in Winter Park, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 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.