MARY KIEUN PARK (NPI# 1033766514) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033766514 |
| Entity Type | Individual |
| Full Name | MARY KIEUN PARK |
| Practice Address |
200 W Santa Ana Blvd Ste 801 Santa Ana CA 92701-4134 |
| Mailing Address |
4199 Campus Dr Irvine CA 92612-4684 |
| Practice Telephone | 7147045900 |
| Mailing Telephone | 9497375460 |
| Enumeration Date | 2019-08-20 |
| Last Update Date | 2019-08-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891351862 | Mary Park | Student in an Organized Health Care Education/Training Program | 2450 Riverside Ave Fl 6, Minneapolis, MN 55454-1450 | 2019-05-15 |
| 1669753810 | Mary Catherine Park | Physician Assistant | 171 Ashley Ave, Charleston, SC 29425-2716 | 2011-09-01 |
| 1609161330 | Mary Park | Obstetrics & Gynecology | 215 E 95th St, New York, NY 10128-4077 | 2011-06-10 |
| Street Address |
200 W SANTA ANA BLVD STE 801 |
| City | SANTA ANA |
| State | CA |
| Zip Code | 92701-4134 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104859982 | Shirley M. Dahncke | Psychologist | 200 W Santa Ana Blvd Ste 801, Santa Ana, CA 92701-4134 | 2006-07-08 |
| 1598373904 | Nayely Aguilar | Social Worker | 200 W Santa Ana Blvd Ste 801, Santa Ana, CA 92701-4134 | 2020-07-21 |
| 1477170868 | Joanna Esther Urueta | Marriage & Family Therapist | 200 W Santa Ana Blvd Ste 801, Santa Ana, CA 92701-4134 | 2020-07-01 |
| 1891344784 | Elizabeth Martinez | Marriage & Family Therapist | 200 W Santa Ana Blvd Ste 801, Santa Ana, CA 92701-4134 | 2019-09-04 |
| 1578118352 | Norma Almazan | Social Worker | 200 W Santa Ana Blvd Ste 801, Santa Ana, CA 92701-4134 | 2019-08-07 |
| 1982257788 | Alysa Klassen | Psychologist | 200 W Santa Ana Blvd Ste 801, Santa Ana, CA 92701-4134 | 2019-07-20 |
| 1881246262 | Amanda Yoder | Psychologist | 200 W Santa Ana Blvd Ste 801, Santa Ana, CA 92701-4134 | 2019-07-15 |
| 1316500614 | Isabel Shantal Gonzalez | Social Worker | 200 W Santa Ana Blvd Ste 801, Santa Ana, CA 92701-4134 | 2019-04-22 |
| 1790245322 | Gedia Fareeda Rashed | Counselor | 200 W Santa Ana Blvd Ste 801, Santa Ana, CA 92701-4134 | 2019-03-20 |
| 1558828905 | Maria Carmen Lopez | Counselor | 200 W Santa Ana Blvd Ste 801, Santa Ana, CA 92701 | 2019-02-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841807401 | Midori K Dirig | Psychologist | 405 W. 3rd Street, Santa Ana, CA 92701 | 2020-09-28 |
| 1952915456 | Alexandria Bekele | Counselor | Address: 405 W. 5th Street, Santa Ana, CA 92701 | 2020-09-02 |
| 1508479239 | Candice Bjorkman | Counselor | 1201 E Fruit St, Santa Ana, CA 92701 | 2020-08-24 |
| 1013527365 | Maryiam Elizabeth Barkho | Dentist | 809 South Main Street Suite B, Santa Ana, CA 92701 | 2020-08-02 |
| 1447803788 | Emmett Eugene Cook II | Counselor | 1207 E Fruit Street, Santa Ana, CA 92701 | 2019-07-16 |
| 1619538741 | Emily H Sanders | Marriage & Family Therapist | 1800-f Parkcourt Place, Suite 205, Santa Ana, CA 92701 | 2019-06-28 |
| 1184191769 | Peace of Mind Wellness & Family Counseling, Inc. | Counselor | 1651 E. Fourth St Ste 240, Santa Ana, CA 92701 | 2018-10-31 |
| 1841765815 | Kelly Marie Contreras | Clinical Medical Laboratory | 902 N. Grand Avenue, Suite 204, Santa Ana, CA 92701 | 2018-10-05 |
| 1780176537 | Diane Carol Navarro-prescott | Counselor | 1633 East 4th Street, Santa Ana, CA 92701 | 2018-06-06 |
| 1750873758 | Eileen Fernandez | Counselor | 615 W Civic Center Dr Fl 2, Santa Ana, CA 92701 | 2018-06-05 |
| Find all providers in zip 92701 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841807401 | Midori K Dirig | Psychologist | 405 W. 3rd Street, Santa Ana, CA 92701 | 2020-09-28 |
| 1760039853 | Jenna Syverson | Psychologist | 200 W Santa Ana Blvd Ste 208, Santa Ana, CA 92701-4134 | 2019-08-22 |
| 1396264941 | Shirin Mostofi | Psychologist | 200 W Santa Ana Blvd Ste 201, Santa Ana, CA 92701-4134 | 2017-09-14 |
| 1275088940 | James Vandervest | Psychologist | 1851 Cockscrow Ln, Santa Ana, CA 92705-3422 | 2016-08-23 |
| 1134556160 | Hailey Michelle Hollers | Psychologist | 405 W 5th St # 658, Santa Ana, CA 92701-4599 | 2013-10-04 |
| 1922448026 | Boys Town California, Inc. | Psychologist | 2223 E Wellington Ave Ste 350, Santa Ana, CA 92701-3109 | 2013-07-03 |
| 1922396084 | Iris Richardson | Psychologist | 2223 E Wellington Ave, Suite 350, Santa Ana, CA 92701-3161 | 2011-07-11 |
| 1184916470 | Betty Minehan | Psychologist | 101 S. Grand Ave, Santa Ana, CA 92705 | 2011-05-05 |
| 1851612113 | Alison Eve Stanley | Psychologist | 2315 Fairmont Ave, Santa Ana, CA 92706-2007 | 2010-06-21 |
| 1730373887 | Robert Goode Patterson | Psychologist | 2030 E 4th Street, 122a, Santa Ana, CA 92705-3920 | 2007-08-31 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.