DR. SUSAN S. PARK PH.D.
NPI 1235253634
Psychologist - Clinical in Pasadena, CA

NPI Status: Active since March 19, 2007

Contact Information

210 S DE LACEY AVE
SUITE 100
PASADENA, CA
ZIP 91105
Phone: (626) 395-7100
Fax: (818) 897-1766

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  • Individual
  • Female
  • Psychologist
  • Clinical

About SUSAN PARK

This page provides the complete NPI Profile along with additional information for Susan Park, a provider established in Pasadena, California with a medical specialization in Psychologist, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1235253634 assigned on March 2007. The practitioner's primary taxonomy code is 103TC0700X with license number PSY21718 (CA). The provider is registered as an individual and her NPI record was last updated 12 years ago.

NPI
1235253634
Provider Name
DR. SUSAN S. PARK PH.D.
Gender
Female
Entity Type
Individual
Location Address
210 S DE LACEY AVE SUITE 100 PASADENA, CA 91105
Location Phone
(626) 395-7100
Location Fax
(818) 897-1766
Mailing Address
4650 W SUNSET BLVD MS140 LOS ANGELES, CA 90027
Mailing Phone
(323) 361-8866
Mailing Fax
(818) 897-1766
Is Sole Proprietor?
Yes
Enumeration Date
03-19-2007
Last Update Date
10-28-2013
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A clinical psychologist like Susan Park assesses, diagnoses, and treats mental, emotional, and behavioral disorders. Clinical psychologists help people deal with problems ranging from short-term personal issues to severe, chronic conditions. Clinical psychologists interview patients, give diagnostic tests, provide psychotherapy and design behavior modification programs to help patients.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychologist Clinical

Taxonomy Code
103TC0700X
Type
Behavioral Health & Social Service Providers
License No.
PSY21718
License State
CA
Taxonomy Description
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1235253634
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
226545666
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 6 + 5 + 4 + 5 + 6 + 6 + 6 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 44

The NPI number 1235253634 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1154458610MRS. ANNA M SANCHEZ
Individual
Rehabilitation Practitioner210 S DE LACEY AVE
PASADENA, CA 91105
(626) 395-7100
1073641585MS. RICKI C. MACKEN CHILVERS
Individual
Rehabilitation Practitioner210 S DE LACEY AVE SUITE 110
PASADENA, CA 91105
(626) 395-7100
1114054665 JANNELLE ANNETTE GONZALES
Individual
Rehabilitation Practitioner210 S DE LACEY AVE SUITE 110
PASADENA, CA 91105
(626) 395-7100
1326177965MS. ARMANDINE HERNANDEZ MONTANEZ
Individual
Rehabilitation Practitioner210 S DE LACEY AVE SUITE 110
PASADENA, CA 91105
(626) 831-4527
1396874236 CAROLYN VERONICA RASCON
Individual
Rehabilitation Practitioner210 S DE LACEY AVE
PASADENA, CA 91105
(626) 395-7100
1245360890MR. GAMAL SMALLEY
Individual
Rehabilitation Practitioner210 S DE LACEY AVE
PASADENA, CA 91105
(626) 395-7100
1245356658 AMALIA SIROLLI
Individual
Psychologist (Clinical)210 S DE LACEY AVE
PASADENA, CA 91105
(626) 831-5471
1881716082 EMILY MCGRATH PH.D.
Individual
Psychologist (Clinical)210 S DE LACEY AVE
PASADENA, CA 91105
(626) 395-7100
1093997595 NORMA E. GONZALES B.A.
Individual
Rehabilitation Practitioner210 S DE LACEY AVE SUITE 110
PASADENA, CA 91105
(626) 395-7100
1124351606 JAIME NELSON VALLADARES
Individual
Rehabilitation Practitioner210 S DE LACEY AVE SUITE 110
PASADENA, CA 91105
(626) 395-7100
1225378227 LIZETH ALEJANDRA NAVARRO
Individual
Counselor (Mental Health)210 S DE LACEY AVE SUITE 110
PASADENA, CA 91105
(626) 395-7100
1093055998MISS ARACELI SANCHEZ
Individual
Marriage & Family Therapist210 S DE LACEY AVE STE. 110
PASADENA, CA 91105
(626) 395-7100
1013258250 WENDY RAMOS-MARTINEZ
Individual
Rehabilitation Practitioner210 S DE LACEY AVE
PASADENA, CA 91105
(626) 395-7100
1003159229 JENNIFER BECKWITH
Individual
Marriage & Family Therapist210 S DE LACEY AVE
PASADENA, CA 91105
(626) 395-7100
1457794620 MANUEL LEIVA
Individual
Marriage & Family Therapist210 S DE LACEY AVE
PASADENA, CA 91105
(626) 395-7100
1487097440 LUIS RINCON
Individual
Rehabilitation Practitioner210 S DE LACEY AVE SUITE 110
PASADENA, CA 91105
(626) 395-7100
1487097358 CHALE ROACH
Individual
Rehabilitation Practitioner210 S DE LACEY AVE 110
PASADENA, CA 91105
(626) 395-7100
1578906442MS. MELANIA S ABDESSIAN
Individual
Rehabilitation Practitioner210 S DE LACEY AVE
PASADENA, CA 91105
(626) 395-7100
1780728634MISS SONIA OLIVIA BARAJAS
Individual
Marriage & Family Therapist210 S DE LACEY AVE SUITE 110
PASADENA, CA 91105
(626) 395-7100
1699807305 NINA ELSIE CHUQUIMIA
Individual
Social Worker210 S DE LACEY AVE #110
PASADENA, CA 91105
(626) 395-7100

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1235253634, enumerated in the NPI registry as an "individual" on March 19, 2007

The provider is located at 210 S De Lacey Ave Suite 100 Pasadena, Ca 91105 and the phone number is (626) 395-7100

The provider's speciality is Psychologist with taxonomy code 103TC0700X with a focus in Clinical

This NPI record was last updated on March 19, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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