CHRISTINE S. PARK (NPI# 1164949780) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164949780 |
| Entity Type | Individual |
| Full Name | CHRISTINE S. PARK |
| Practice Address |
6020 Constitution Ave Ne Ste 4 Albuquerque NM 87110-5931 |
| Mailing Address |
Po Box 3338 Albuquerque NM 87190-3338 |
| Practice Telephone | 5052555099 |
| Mailing Telephone | 5052555099 |
| Mailing Fax Number | 5052555099 |
| Enumeration Date | 2017-08-24 |
| Last Update Date | 2017-08-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TS0200X |
Psychologist Specialization: School |
336590 | NM | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184113102 | Christine Park | Behavior Technician | 429 Cedar Ct S, Buffalo Grove, IL 60089-6627 | 2018-05-04 |
| 1386038842 | Christine Park | Counselor | 45-445 Pua Inia St, Kaneohe, HI 96744-2937 | 2015-03-23 |
| 1861698326 | Christine Park | Dentist | Unit 15660, Apo, AP 96271-5660 | 2007-06-22 |
| 1417947052 | Christine Park | Anesthesiology | 1740 W Taylor St # 3200w, Chicago, IL 60612-7232 | 2005-10-25 |
| 1760048565 | Christine Park | Speech-Language Pathologist | 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2019-05-16 |
| 1922568500 | Christine Miran Park | Student in an Organized Health Care Education/Training Program | 505 E 70th St, New York, NY 10021-4872 | 2019-03-21 |
| 1639637408 | Christine S Park | Student in an Organized Health Care Education/Training Program | 345 E 24th St, New York, NY 10010-4020 | 2019-03-11 |
| 1326532797 | Christine Park | Pharmacist | 2301 Ranch Road 620 S, Lakeway, TX 78734-6240 | 2018-06-19 |
| 1417479775 | Christine Park | Physician Assistant | 1450 San Pablo St Ste 5100, Los Angeles, CA 90033-4500 | 2017-07-07 |
| 1326573767 | Christine Dohyun Park | Student in an Organized Health Care Education/Training Program | 1100 Wilford Hall Loop, Bldg 4554, 59 Mdw/gme, Jbsa - Lackland, TX 78236 | 2017-04-24 |
| Street Address |
6020 CONSTITUTION AVE NE STE 4 |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87110-5931 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043845977 | Maureen Elizabeth Brooks | Speech-Language Pathologist | 6020 Constitution Ave Ne Ste 4, Albuquerque, NM 87110-5931 | 2020-03-11 |
| 1578027223 | Margaret Radigan | Speech-Language Pathologist | 6020 Constitution Ave Ne Ste 4, Albuquerque, NM 87110-5931 | 2019-01-28 |
| 1891278941 | Donald Blackburn | Physical Therapist | 6020 Constitution Ave Ne Ste 4, Albuquerque, NM 87110-5931 | 2018-09-13 |
| 1184103475 | John Garrahan Daly | Physical Therapist | 6020 Constitution Ave Ne Ste 4, Albuquerque, NM 87110-5931 | 2018-08-08 |
| 1316425416 | Christine Hazard Phillips | Psychologist | 6020 Constitution Ave Ne Ste 4, Albuquerque, NM 87110-5931 | 2018-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215550199 | Sabrina Jennifer Lujan | Counselor | 8401 Constitution Ave Nw, Albuquerque, NM 87110 | 2020-05-26 |
| 1649829318 | Robert D. Oliver | Technician | 2705 Texas Street Ne, Albuquerque, NM 87110 | 2019-09-05 |
| 1033770904 | Life Re-created LLC | Counselor | 3939 San Pedro Dr. Ne, Bld C, Ste 8, Albuquerque, NM 87110 | 2019-06-21 |
| 1497319693 | Clear Choice Vision Care, LLC | Optometrist | 6600 Menaul Blve Ne, Suite M5a, Albuquerque, NM 87110 | 2019-04-24 |
| 1790257558 | Diana M Nicolas | Dietitian, Registered | 8300 Constitution Ave Ne Bld D, Albuquerque, NM 87110 | 2018-12-18 |
| 1689168403 | Robin N Hermes, Md, PC | Anesthesiology | 2440 Lousiana Blvd. Ne, Ste 580, Albuquerque, NM 87110 | 2018-06-15 |
| 1710481726 | Desert Mountain Eyecare LLC | Optometrist | 5504 Menaul Blvd Ne Ste Aandb, Albuquerque, NM 87110 | 2018-03-23 |
| 1659873131 | Amanda Lacasse | Registered Nurse | 6400 Uptown Blvd Ne Suite 360 West, Albuquerque, NM 87110 | 2018-03-01 |
| 1518485655 | Danielle Liegh Wyne | Counselor | 6121 Indian School Rd, Suite 141, Albuquerque, NM 87110 | 2017-09-08 |
| 1265957237 | Myrrhine Faller | Speech-Language Pathologist | 6020 Constitution Ave. Ne, Suite 4, Albuquerque, NM 87110 | 2017-08-10 |
| Find all providers in zip 87110 | ||||
| Taxonomy Code | 103TS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023441300 | Suzette L Sandoval | Psychologist | 5323 Menaul St Ne, Albuquerque, NM 87176 | 2013-08-09 |
| 1710254719 | Ann Branscum | Psychologist | Unm Health Sciences Center, Psychiatry/behavioral Sci., Msc009-5030, 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2011-11-19 |
| 1053507608 | Bonnie Stetson | Psychologist | 9434 Rio Grande Blvd Nw, Albuquerque, NM 87114-1813 | 2007-09-18 |
| 1235335225 | William James Huddleston | Psychologist | 5321-a Menaul, Ne, Albuquerque, NM 87110 | 2007-06-26 |
| 1316425416 | Christine Hazard Phillips | Psychologist | 6020 Constitution Ave Ne Ste 4, Albuquerque, NM 87110-5931 | 2018-07-31 |
| 1619411311 | Emily Mathis | Psychologist | 6020 Constitution Ave Ne, Suite 4, Albuquerque, NM 87110-5900 | 2016-12-14 |
| 1760932479 | Christina Horvath | Psychologist | 6020 Constitution Ave Ne, Albuquerque, NM 87110-5900 | 2016-10-05 |
| 1588065577 | Laura De Azevedo | Psychologist | 6020 Constitution Ave Ne, Suite 4, Albuquerque, NM 87110-5900 | 2014-09-09 |
| 1942559927 | Michael W. Baxter | Psychologist | 5200 Copper Ave Ne, Albuquerque, NM 87108-1473 | 2012-09-05 |
| 1417262668 | Tiffany Richie | Psychologist | 5200 Copper Ave Ne, Albuquerque, NM 87108-1473 | 2010-08-12 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87110 |
Please comment or provide details below to improve the information on CHRISTINE S. PARK.
| 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.