MRS. KIMBERLY LYNN PARKS (NPI# 1659528677) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659528677 |
| Entity Type | Individual |
| Full Name | MRS. KIMBERLY LYNN PARKS |
| Credential | PH.D. |
| Practice Address |
2076 S Eagle Rd Meridian ID 83642-6707 |
| Mailing Address |
1009 E Thunderbird Ct Eagle ID 83616-4193 |
| Practice Telephone | 2089557333 |
| Mailing Telephone | 2089380075 |
| Enumeration Date | 2008-08-20 |
| Last Update Date | 2013-04-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| Y | 103T00000X | Psychologist | PSY-202549 | ID | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063848679 | Kimberly Michelle Parks | Contractor | 1151 Rand Ave, Columbus, OH 43227-1132 | 2013-09-16 |
| 1710319199 | Kimberly Ruth Spencer Parks | Physical Therapy Assistant | 8725 Digital Dr, Apt 302, Charlotte, NC 28262-4384 | 2013-08-07 |
| 1518937663 | Kimberly Rae Parks | Optometrist | Naval Hospital Beaufort Rd, Psc Box 8023, Cherry Point, NC 28533-0023 | 2006-01-23 |
| 1972088466 | Kimberly A Parks | Counselor | 7115 Virginia Rd Ste 104, Crystal Lake, IL 60014-3110 | 2018-10-01 |
| 1952843070 | Kimberly Parks | Nurse Practitioner | 9524 Belair Rd, Baltimore, MD 21236-1544 | 2016-11-07 |
| 1366869240 | Kimberly Parks | Psychiatry & Neurology | 1504 Taub Loop, Houston, TX 77030-1608 | 2014-03-28 |
| 1619392990 | Kimberly Parks | Physical Therapist | 8020 River Stone Dr, Fredericksburg, VA 22407-8761 | 2014-02-24 |
| 1033457288 | Kimberly D Parks | Advanced Practice Midwife | 3900 Joe Ramsey Blvd E Ste E, Greenville, TX 75401-7770 | 2013-01-23 |
| 1467714675 | Kimberly Michelle Parks | Chiropractor | 108 W Pasadena Blvd, Deer Park, TX 77536-4870 | 2012-06-13 |
| 1861686230 | Kimberly Ann Parks | Specialist | 55 Fruit St, Gb 800, Boston, MA 02114-2621 | 2007-08-29 |
| Street Address |
2076 S EAGLE RD |
| City | MERIDIAN |
| State | ID |
| Zip Code | 83642-6707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740314228 | Carolyn Suzanne Golden | Psychologist | 2076 S Eagle Rd, Meridian, ID 83642-6707 | 2007-03-15 |
| 1558776740 | Jonathan Morgan | Social Worker | 2076 S Eagle Rd, Meridian, ID 83642-6707 | 2014-06-25 |
| 1720326986 | Laura Learned | Speech-Language Pathologist | 2076 S Eagle Rd, Meridian, ID 83642-6707 | 2013-01-23 |
| 1972852572 | Johnathan August Sharrette | Psychologist | 2076 S Eagle Rd, Meridian, ID 83642 | 2012-08-29 |
| 1821359522 | Ann Marie Corey | Nurse Practitioner | 2076 S Eagle Rd, Meridian, ID 83642-6707 | 2012-05-30 |
| 1841550423 | Molly Marie Brady | Student in an Organized Health Care Education/Training Program | 2076 S Eagle Rd, Meridian, ID 83642-6707 | 2012-05-17 |
| 1982963393 | Michael Mccaleb | Psychologist | 2076 S Eagle Rd, Meridian, ID 83642-6707 | 2012-05-07 |
| 1053679985 | Michael Brinker | Psychologist | 2076 S Eagle Rd, Meridian, ID 83642-6707 | 2012-04-28 |
| 1447537436 | Brian Peck | Social Worker | 2076 S Eagle Rd, Meridian, ID 83642-6707 | 2011-11-04 |
| 1013223445 | Northwest Neurobehavioral Health, LLC | Psychologist | 2076 S Eagle Rd, Meridian, ID 83642-6707 | 2010-08-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174145684 | Ikdo South Meridian LLC | Dentist | 3839 E Amity Rd, Meridian, ID 83642 | 2020-05-07 |
| 1073133328 | Prescription Pad LLC | Pharmacy | 885 S Vanguard Way, Meridian, ID 83642 | 2020-04-16 |
| 1609412683 | Meridian Advanced Psychiatry, LLC | Psychiatry & Neurology | 1672 S Woodsage Ave., Meridan, ID 83642 | 2019-11-25 |
| 1194378927 | Sergey Tsema | Occupational Therapist | 1259 E Pisa St, Meridian, ID 83642 | 2019-07-21 |
| 1003478629 | Chris R Jackson | Dentist | Isu Family Dentistry, 1311 E Central Dr, Meridian, ID 83642 | 2019-07-03 |
| 1285293118 | Morgan Family Medicine | Nurse Practitioner | 1660 S Woodsage Avenue, Meridian, ID 83642 | 2019-06-13 |
| 1033772793 | Nugen Healthcare, Pllc | Registered Nurse | 2177 S Spoonbill Ave, Meridian, ID 83642 | 2019-04-18 |
| 1811471790 | Courtney Crossland | Physician Assistant | 4949 S Hillsdale Ave., Meridian, ID 83642 | 2018-09-18 |
| 1841771938 | Katelyn Perry | Counselor | 2068 S. Eagle Rd., Meridian, ID 83642 | 2018-08-27 |
| 1114406204 | Gem Prep: Meridian LLC | Case Management | 2750 E.gala Ct., Meridian, ID 83642 | 2018-08-09 |
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| 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 |
|---|---|---|---|---|
| 1326380197 | Jeffrey Schloemer | Psychologist | 1530 W Ann Taylor St, Apt G102, Meridian, ID 83646-4005 | 2013-03-20 |
| 1336335546 | Psychology Associates, LLC | Psychologist | 5004 Hwy 39 N, Meridian, MS 39301-1021 | 2007-09-20 |
| 1285856112 | Jan Parr Boggs | Psychologist | 1508 37th Avenue, Meridian, MS 39307 | 2007-05-02 |
| 1093860561 | Mack B. Stephenson, Ph.d., Chtd | Psychologist | 78 Sw 5th Ave, Suite 2, Meridian, ID 83642-2923 | 2007-01-24 |
| 1144305749 | Barney Greenspan | Psychologist | 1302 E Green Haven St, Meridian, ID 83646-5935 | 2006-10-25 |
| 1992326599 | Lynn Laird | Psychologist | 3120 W Belltower Dr Ste 175, Meridian, ID 83646-6000 | 2020-05-05 |
| 1972852572 | Johnathan August Sharrette | Psychologist | 2076 S Eagle Rd, Meridian, ID 83642 | 2012-08-29 |
| 1053689356 | Ryan J Hulbert | Psychologist | 2273 E Gala St, Suite 100, Meridian, ID 83642-7289 | 2011-12-01 |
| 1467676254 | Mack B. Stephenson | Psychologist | 78 Sw 5th Ave, Suite 2, Meridian, ID 83642-2923 | 2007-04-12 |
| 1437219227 | Psychology Services of Idaho, Pllc | Psychologist | 2365 E Gala St, Suite #2, Meridian, ID 83642-4881 | 2006-12-11 |
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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.