DR. PRISCILLA STEWART PARK (NPI# 1518094507) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518094507 |
| Entity Type | Individual |
| Full Name | DR. PRISCILLA STEWART PARK |
| Credential | MD |
| Practice Address |
29398 Recovery Way Junction City OR 97448-8442 |
| Practice Telephone | 5414652534 |
| Mailing Telephone | 5414652534 |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2016-08-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
176957 | OR | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023298460 | Priscilla Park | Physical Therapist | 3150 18th St Ste 438, San Francisco, CA 94110-2077 | 2007-11-13 |
| 1750912606 | Priscilla Park | Student in an Organized Health Care Education/Training Program | 530 Nw 27th St, Corvallis, OR 97330-5223 | 2020-01-30 |
| 1043704232 | Priscilla J Park | Occupational Therapist | 3900 Jermantown Rd, Fairfax, VA 22030-4900 | 2018-06-20 |
| 1447618939 | Priscilla Park | Technician, Other | 1901 Carnegie Ave Ste 1c, Santa Ana, CA 92705-5504 | 2016-01-29 |
| 1932447232 | Priscilla Park | Occupational Therapist | 11500 Nimitz Ave, Los Angeles, CA 90049-3566 | 2013-01-21 |
| Street Address |
29398 RECOVERY WAY |
| City | JUNCTION CITY |
| State | OR |
| Zip Code | 97448-8442 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932735180 | Kelly Caldwell | Social Worker | 29398 Recovery Way, Junction City, OR 97448-8447 | 2020-03-19 |
| 1649803578 | Jeri Croucher | Dietitian, Registered | 29398 Recovery Way, Junction City, OR 97448-8447 | 2020-02-19 |
| 1245863661 | Amanda Silacci | Dietitian, Registered | 29398 Recovery Way, Junction City, OR 97448-8447 | 2020-02-13 |
| 1508420076 | Columbacare Services | Community Based Residential Treatment Facility, Mental Illness | 29398 Recovery Way, Junction City, OR 97448-8442 | 2019-04-30 |
| 1609398536 | Anh Vu Vuong | Pharmacist | 29398 Recovery Way, Junction City, OR 97448-8442 | 2017-07-12 |
| 1568901171 | Lynette Corie Smith | Psychologist | 29398 Recovery Way, Junction City, OR 97448-8442 | 2017-02-15 |
| 1700267002 | Julia Howe | Psychologist | 29398 Recovery Way, A1084 Cube 57, Junction City, OR 97448-8442 | 2015-06-11 |
| 1831583798 | Oregon Health Authority, Directors Office, Financial Services | Psychiatric Hospital | 29398 Recovery Way, Junction City, OR 97448-8442 | 2015-03-27 |
| 1275922239 | Oregon State Hospital - Junction City Campus | Pharmacy | 29398 Recovery Way, Junction City, OR 97448 | 2015-01-14 |
| 1659608115 | Stacy Jean Nielsen | Social Worker | 29398 Recovery Way, Junction City, OR 97448-8447 | 2009-11-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083246466 | Haley Forte | Specialist/Technologist | 408 Walnut Street, Junction City, OR 97448 | 2020-02-04 |
| 1255841250 | Joann M Hatton | Counselor | 1041 Yew St, Junction City, OR 97448 | 2017-10-04 |
| 1437605482 | Terry Zachariah Hurst | Social Worker | 92695 Pebble Beach Lane, Junction City, OR 97448 | 2016-08-30 |
| 1568806206 | Devon Denny | Occupational Therapist | 503 S Birch St, Junction City, OR 97448 | 2013-04-24 |
| 1518923200 | Paulette Ann Richards | Rehabilitation Practitioner | 24820 Paradise Drive, Junction City, OR 97448 | 2006-04-22 |
| 1033717624 | Therapy To Shine | Clinic/Center | 210 E 6th Ave, Junction City, OR 97448 | 2020-10-15 |
| 1497392591 | Jenny Mayer Chan | Pharmacist | 1755 Ivy St, Junction City, OR 97448 | 2019-12-08 |
| 1396142543 | Ruth Will | Physical Therapist | 680 Ivy St, Junction City, OR 97448 | 2014-12-02 |
| 1144399213 | Michael Howard Baum | Physical Therapist | 321 Holly Street, Junction City, OR 97448-0275 | 2006-11-06 |
| 1740840628 | Maria Guadalupe Iboa Montes | Technician | 1085 W 1st Ave Unit M, Junction City, OR 97448-1029 | 2019-06-13 |
| Find all providers in zip 97448 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326295387 | William Lee Johnson | Psychiatry & Neurology | 1102 Saint Marys Rd, Junction City, KS 66441-4139 | 2008-08-21 |
| 1831273101 | Geary County Hospital | Psychiatry & Neurology | 1102 Saint Marys Rd, Junction City, KS 66441-4139 | 2006-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861091670 | Clara A. Bozievich, M.d., P.C. | Psychiatry & Neurology | 971 Nw Spruce Ave Ste 102, Corvallis, OR 97330-2234 | 2020-10-22 |
| 1346863461 | Northstar Tms | Psychiatry & Neurology | 16100 Nw Cornell Rd, Beaverton, OR 97006-7334 | 2020-05-22 |
| 1538782834 | Endeavor Psychiatry LLC | Psychiatry & Neurology | Sw, Portland, OR 97219-5885 | 2020-05-20 |
| 1154942142 | Prisma Wellness LLC | Psychiatry & Neurology | 10260 Sw Greenburg Rd Fl 4, Portland, OR 97223-5500 | 2020-04-30 |
| 1154957728 | Germane & Wise Mental Health Services Consulting LLC | Psychiatry & Neurology | 321 1st Ave Ne Ste 3c, Albany, OR 97321-2794 | 2020-03-16 |
| 1588200091 | Bright Mind LLC | Psychiatry & Neurology | 151 Sw Shevlin Hixon Dr, Bend, OR 97702-3209 | 2019-11-19 |
| 1841772233 | Psychiatrist On-call, LLC | Psychiatry & Neurology | 12655 Sw Center St Ste 150, Beaverton, OR 97005-1864 | 2018-08-31 |
| 1003301011 | Emerald Tms, LLC | Psychiatry & Neurology | 1140 Willagillespie Rd Ste 44, Eugene, OR 97401-6727 | 2018-06-22 |
| 1881188084 | Geriatric Psychiatry Associates | Psychiatry & Neurology | 123 Nw 12th Ave Apt 424, Portland, OR 97209-4145 | 2018-06-20 |
| 1801399522 | Forefront Telecare PC | Psychiatry & Neurology | 325 13th St Ne Ste 404, Salem, OR 97301-2203 | 2018-03-09 |
| Find all providers with the same taxonomy | ||||
| City | JUNCTION CITY |
| Zip Code | 97448 |
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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.