DEBORAH PARK (NPI# 1093926586) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093926586 |
| Entity Type | Individual |
| Full Name | DEBORAH PARK |
| Credential | IMFT |
| Practice Address |
527 30th St Nw Canton OH 44709-3109 |
| Practice Telephone | 3303131213 |
| Mailing Telephone | 3303131213 |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | IMFT F0500019 | OH | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144837774 | Deborah Park | Behavior Technician | 1100 W Town and Country Rd Ste 1250, Orange, CA 92868-4633 | 2020-09-28 |
| Street Address |
527 30TH ST NW |
| City | CANTON |
| State | OH |
| Zip Code | 44709-3109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174093199 | Stone Crossing Skilled Care, LLC | Assisted Living Facility | 836 34th Street, Nw, Canton, OH 44709 | 2018-12-03 |
| 1346749736 | Jillia Katelynne Cook | Specialist/Technologist | 2223 29th St Nw, Canton, OH 44709 | 2018-02-12 |
| 1235675216 | Lisa Teeple | Speech-Language Pathologist | 2100 38th Street Nw, Stark County Educational Service Center, Canton, OH 44709 | 2017-01-13 |
| 1063825370 | Anton Zopel X | Occupational Therapist | 2100 38th St. Nw, Stark County Esc, Canton, OH 44709 | 2014-06-04 |
| 1902173560 | Abbey Baum-beigie | Nurse Practitioner | 626 34th Street Nw, Canton, OH 44709 | 2011-11-28 |
| 1114109832 | Alison Jensen | Dentist | 3934 Everhard Rd Nw, Canton, OH 44709 | 2007-12-04 |
| 1225234115 | Dr. Kuendig & Associates, Inc | Clinical Neuropsychologist | 100 30th St. Nw, Suite 109, Canton, OH 44709 | 2007-06-26 |
| 1851597751 | Richard C. Kuendig | Psychologist | 100-30th St. Nw, Suite 109, Canton, OH 44709 | 2007-06-26 |
| 1154540318 | Christopher A Watson | Specialist/Technologist | 515 25th Street Nw, Canton, OH 44709 | 2007-04-25 |
| 1205950979 | Plain Local School District | Local Education Agency (LEA) | 901 44th Street Nw, Canton, OH 44709 | 2007-03-19 |
| Find all providers in zip 44709 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982953220 | Lyudmyla Z Rockaway | Marriage & Family Therapist | 4895 Dressler Road Nw, Ste A, Canton, OH 44718 | 2012-08-31 |
| 1639430069 | Adam Davis Bagley | Marriage & Family Therapist | 24 Waleska St Ste 100, Canton, GA 30114-2739 | 2012-06-01 |
| 1407949431 | Joanne Waithaka | Marriage & Family Therapist | 38 Chapel St, Canton, MA 02021-2541 | 2006-10-02 |
| 1891334579 | Douglas Ryder | Marriage & Family Therapist | 401 Tuscarawas St W, Canton, OH 44702-2042 | 2019-12-30 |
| 1497236830 | Robert Dean Wolf | Marriage & Family Therapist | 401 Tuscarawas St W Ste 501, Canton, OH 44702-2045 | 2018-08-23 |
| 1629557327 | Jessica Anne Fennell | Marriage & Family Therapist | 401 Tuscarawas St W Ste 501, Canton, OH 44702-2045 | 2018-08-13 |
| 1912491036 | Tara Flakes | Marriage & Family Therapist | 401 Tuscarawas St W Ste 501, Canton, OH 44702-2045 | 2018-06-21 |
| 1568963379 | Jennifer L Davis | Marriage & Family Therapist | 624 Market Ave N, Canton, OH 44702-1017 | 2018-02-27 |
| 1962858639 | Danielle Sondeen | Marriage & Family Therapist | 50 Albany Tpke, Building #4, Canton, CT 06019-2516 | 2016-05-11 |
| 1386873636 | Silver Counseling Services LLC | Marriage & Family Therapist | 50 Albany Tpke, Suite 5036, Canton, CT 06019-2516 | 2009-07-08 |
| Find all providers in CANTON | ||||
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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.