Kimberly Park LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

KIMBERLY PARK LLC

Practice address

1630 Schiller Ave Ste 3, #1001
Cuyahoga Falls, OH 44223-1756

Phone

(904) 513-8777

NPI assigned

Jul 28, 2026

Organization subpart

No

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

Authorized official

Name

Kimberly Park, LISWNPI 1629789797

Title

Owner

Phone

(904) 513-8777

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kimberly Harding Park, LISW

  • Clinical Social Worker
  • Cuyahoga Falls, OH
  • NPI 1629789797
  NPD (past) Authorized official

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

{
    "created_epoch": "1785196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785283200000",
    "number": "1952223323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1630 SCHILLER AVE STE 3, #1001",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442231756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 SCHILLER AVE STE 3, #1001",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442231756",
            "telephone_number": "904-513-8777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMBERLY PARK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-28",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-513-8777",
        "authorized_official_credential": "LISW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kent Management Group Inc (Premier Medical Partners)
• Robert A Kent Jr., DO
• Kentix Developmental Health LLC
• Robert F Kepley, M.D.
• Rahul P Khandekar, DPM
• Pamela Kay Kimble, LPN
• Kara Lynn Kimevski
• Dawn King, COTA/L
• Erin King, MSW, LSW
• Casey Kingsley, COTA/L

• Mental Health Clinic/Center (Including Community Mental Health Center) in Cuyahoga Falls, OH
• Providers in Cuyahoga Falls, OH by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2026; 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.