DR. STEPHANIE GRACE PARK (NPI# 1225490105) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225490105 |
| Entity Type | Individual |
| Full Name | DR. STEPHANIE GRACE PARK |
| Credential | PH.D. |
| Practice Address |
1201 Seven Locks Rd Suite 111 Rockville MD 20854-2931 |
| Practice Telephone | 3017625020 |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2016-03-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
05433 | MD | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871155697 | Stephanie Park | Occupational Therapist | 75 Windward Way, Buena Park, CA 90621-1683 | 2019-07-02 |
| 1649448333 | Stephanie Yunsun Park | Optometrist | 28 W 32nd St, New York, NY 10001-3821 | 2008-02-14 |
| 1508387812 | Stephanie M Park | Nurse Practitioner | 1500 E Medical Center Dr, 3rd Floor Cardiovascular Center Recp C, Ann Arbor, MI 48109-5864 | 2017-06-28 |
| 1750621793 | Stephanie Rae Park | Nurse Practitioner | 13400 E Shea Blvd, Scottsdale, AZ 85259 | 2013-02-28 |
| 1497838387 | Stephanie Park | Allergy & Immunology | 1585 Woodlake Dr, Suite 201, Chesterfield, MO 63017-5740 | 2006-10-23 |
| Street Address |
1201 SEVEN LOCKS RD SUITE 111 |
| City | ROCKVILLE |
| State | MD |
| Zip Code | 20854-2931 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154324010 | Mark Neal Levy | Podiatrist | 1201 Seven Locks Rd, Ste 202, Rockville, MD 20854-2956 | 2005-05-24 |
| 1487105946 | Privia Medical Group, LLC | Podiatrist | 1201 Seven Locks Rd, Suite 202, Rockville, MD 20854-2931 | 2016-10-20 |
| 1811350994 | Carole Dean | Massage Therapist | 1201 Seven Locks Rd, Suite 212, Rockville, MD 20854-2931 | 2016-04-05 |
| 1952768541 | Michal Moskowitz | Psychologist | 1201 Seven Locks Rd, Suite 111, Rockville, MD 20854-2931 | 2016-01-27 |
| 1396153797 | Darryl Stewart | Nurse Practitioner | 1201 Seven Locks Rd, Suite 111, Rockville, MD 20854-2931 | 2014-07-29 |
| 1982030342 | Louis Simchowitz | Internal Medicine | 1201 Seven Locks Rd, Suite 111, Rockville, MD 20854-2931 | 2013-09-17 |
| 1659615425 | Mark N Levy Dpm Pa | Podiatrist | 1201 Seven Locks Rd, Suite 202, Rockville, MD 20854-2931 | 2012-11-19 |
| 1174817498 | Jesse Gabriel Brand | Clinical Neuropsychologist | 1201 Seven Locks Rd, Suite 101, Rockville, MD 20854-2931 | 2011-06-03 |
| 1497051536 | Ryan Mullen | Chiropractor | 1201 Seven Locks Rd, Rockville, MD 20854-2931 | 2011-02-08 |
| 1710207568 | Sarah Katheryn Staley | Psychologist | 1201 Seven Locks Rd, Suite 111, Rockville, MD 20854-2931 | 2010-06-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750810032 | Zhen Zhao | Pathology | 10405 Democracy Ln, Potomac, MD 20854 | 2017-06-08 |
| 1821544602 | Candace Nuzzo Michiels | Speech-Language Pathologist | 11614 Seven Locks Road, Ivymount School, Rockville, MD 20854 | 2016-08-31 |
| 1790156131 | Navneet Dhaliwal | Dentist | 12620 Greenbriar Rd, Potomac, MD 20854 | 2015-10-12 |
| 1407276082 | Benjamin G Shapero | Psychologist | 7825 Tuckerman Ln Ste 209, Potomac, MD 20854 | 2014-04-22 |
| 1497192272 | Nadia Yusuf | Psychiatry & Neurology | 1201 Seven Locks Rd Ste 101, Rockville, MD 20854 | 2013-06-03 |
| 1669719480 | Bradlee Levine | Dentist | 7811 Montrose Rd. Suite 300, Potomac, MD 20854 | 2013-01-14 |
| 1609123199 | Marie Makandjo | Home Health Aide | 10532 Sunny Brook Ln, Potomac, MD 20854 | 2012-08-14 |
| 1902183262 | Viran Seneviratne | Pharmacist | 1597 Kimble Wick Road, Rockville, MD 20854 | 2011-11-14 |
| 1790083608 | Joy Hope Samuels-reid | Pediatrics | 8821 Bells Mill Rd, Potomac, MD 20854 | 2011-03-02 |
| 1386944429 | Margaret Z Treseler | Physical Therapist | Specialized Women's Physical Therapy, LLC, 7825 Tuckerman Lane, Suite 211, Potomac, MD 20854 | 2010-10-22 |
| Find all providers in zip 20854 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124662127 | Nicholas Affrunti | Psychologist | 1620 E Jefferson St Apt 327, Rockville, MD 20852-4083 | 2019-11-01 |
| 1881168805 | Heather Jean Scurtu Mann | Psychologist | Quince Orchard Psychotherapy, 9707 Key West Avenue, Suite 100, Rockville, MD 20850 | 2019-01-12 |
| 1346715919 | Tiffany Milligan | Psychologist | 212 King Farm Blvd, Rockville, MD 20850-5871 | 2018-10-09 |
| 1487171658 | Candice Watson | Psychologist | 3200 Tower Oaks Blvd Ste 200, Rockville, MD 20852-4265 | 2017-08-28 |
| 1144558016 | Lashaun Annette Williams | Psychologist | 15803 Crabbs Branch Way, Fl 2, Rockville, MD 20855-2842 | 2009-12-03 |
| 1003049677 | Satoko Shibao | Psychologist | 6232 Montrose Rd, Rockville, MD 20852-4119 | 2009-08-31 |
| 1215166343 | Rona Benhorin | Psychologist | 6207 Executive Blvd, Rockville, MD 20852-3906 | 2009-07-10 |
| 1841446747 | Holly Zanville | Psychologist | 4402 Bestor Dr, Rockville, MD 20853-2137 | 2008-08-11 |
| 1023274818 | Montrose View Psychotherapy Associates, LLC | Psychologist | 6339 Executive Blvd., Rockville, MD 20852-3509 | 2008-08-01 |
| 1164606133 | Paula L Ellman | Psychologist | 6420 Danville Court, Rockville, MD 20852 | 2007-12-26 |
| Find all providers in ROCKVILLE | ||||
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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.