DR. ALEXANDREA PARK (NPI# 1982987723) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982987723 |
| Entity Type | Individual |
| Full Name | DR. ALEXANDREA PARK |
| Credential | PSY.D. |
| Practice Address |
9107 Wilshire Blvd Ste 475 Beverly Hills CA 90210-5559 |
| Mailing Address |
9663 Santa Monica Blvd # 1058 Beverly Hills CA 90210-4303 |
| Practice Telephone | 3109417775 |
| Practice Fax Number | 3107710977 |
| Mailing Telephone | 3109417775 |
| Mailing Fax Number | 3107710977 |
| Enumeration Date | 2011-09-27 |
| Last Update Date | 2013-10-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | 25773 | CA | Behavioral Health & Social Service Providers |
| N | 103T00000X | Psychologist | 25773 | CA | Behavioral Health & Social Service Providers |
| N | 103TA0700X |
Psychologist Specialization: Adult Development & Aging |
25773 | CA | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
25773 | CA | Behavioral Health & Social Service Providers |
| N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
Behavioral Health & Social Service Providers | ||
| N | 103TF0200X |
Psychologist Specialization: Forensic |
25773 | CA | Behavioral Health & Social Service Providers |
| N | 103TP2701X |
Psychologist Specialization: Group Psychotherapy |
25773 | CA | Behavioral Health & Social Service Providers |
| N | 103TR0400X |
Psychologist Specialization: Rehabilitation |
25773 | CA | Behavioral Health & Social Service Providers |
| N | 103TH0004X |
Psychologist Specialization: Health |
25773 | CA | Behavioral Health & Social Service Providers |
| Street Address |
9107 WILSHIRE BLVD STE 475 |
| City | BEVERLY HILLS |
| State | CA |
| Zip Code | 90210-5559 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437580891 | Sondra Brascia | Marriage & Family Therapist | 9107 Wilshire Blvd Ste 475, Beverly Hills, CA 90210-5559 | 2013-12-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225643786 | Diane Garcia | Social Worker | 436 N. Roxbury Drive, Suite 218, Beverly Hills, CA 90210 | 2020-09-11 |
| 1043834765 | Sheryl Kipper Weissberg | Marriage & Family Therapist | 9171 Wilshire Boulevard, Penthouse, Beverly Hills, CA 90210 | 2020-05-29 |
| 1093373912 | Jill Daloria | Speech-Language Pathologist | 201 N Crescent Drive, Beverly Hills, CA 90210 | 2019-06-05 |
| 1902363203 | Barry J Brock Md Inc. | Obstetrics & Gynecology | 421 N Rodeo Drive, Penthouse 1, Beverly Hills, CA 90210 | 2019-02-23 |
| 1861983884 | Beverly Hills Hair Free Corp | Contractor | 9301 Wilshire Blvd #310, Beverly Hills, CA 90210 | 2018-05-24 |
| 1245745389 | Richard L Gilbert | Marriage & Family Therapist | 301 North Bedford Drive Suite 401, Beverly Hills, CA 90210 | 2017-12-12 |
| 1588180970 | Richard Paul Braun IIi | Chiropractor | 9601 Wilshire Blvd., Within Equinox Spa, Beverly Hills, CA 90210 | 2017-08-17 |
| 1538683677 | Bh Therapy Corp. | Psychologist | 9107 Wilshire Blvd Suite 200, Beverly Hills, CA 90210 | 2017-07-31 |
| 1114374394 | Marvin Berkowitz | Family Medicine | 614 N Roxbury Dr., Beverly Hills, CA 90210 | 2016-05-18 |
| 1104287077 | Eva Silegy | Nurse Anesthetist, Certified Registered | 465 N. Roxbury Drive, Beverly Hills, CA 90210 | 2016-03-18 |
| Find all providers in zip 90210 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033235528 | Irwin Savodnik, M.d. & Medical Associates, Inc. | Clinical Neuropsychologist | 360 N Bedford Dr Ste 414, Beverly Hills, CA 90210-5122 | 2007-03-22 |
| 1376660829 | Irwin Savodnik, M.d. & Medical Associates, Inc. | Clinical Neuropsychologist | 9735 Wilshire Blvd Ste 323, Beverly Hills, CA 90212-2108 | 2007-03-22 |
| 1508908500 | Veronica I Olvera | Clinical Neuropsychologist | 226 S Beverly Dr, Suite 225, Beverly Hills, CA 90212-3817 | 2007-02-13 |
| 1861458457 | Valerie R Vonraffay | Clinical Neuropsychologist | 450 N Bedford Drive, Suite 312, Beverly Hills, CA 90210 | 2006-04-24 |
| 1699129502 | Diane Lucie Scheiner | Clinical Neuropsychologist | 9777 Wilshire Blvd, Suite 1007, Beverly Hills, CA 90212-1910 | 2016-04-17 |
| 1518287804 | Leah Ellenberg, Ph.d. and Associates | Clinical Neuropsychologist | 9401 Wilshire Blvd, Suite 730, Beverly Hills, CA 90212-2928 | 2010-06-09 |
| 1356570360 | Joni Fay Pastor | Clinical Neuropsychologist | 9171 Wilshire Blvd, Penthouse Suite 1, Beverly Hills, CA 90210-5530 | 2009-07-11 |
| 1922205566 | Deborah S. Miora | Clinical Neuropsychologist | 435 N Roxbury Dr, Suite 406, Beverly Hills, CA 90210-5027 | 2007-06-28 |
| 1932312931 | Leah Ellenberg | Clinical Neuropsychologist | 9401 Wilshire Blvd, Suite 730, Beverly Hills, CA 90212-2928 | 2007-05-07 |
| 1568413250 | William Wade Deardorff | Clinical Neuropsychologist | 120 S Spalding Dr, Suite 400, Beverly Hills, CA 90212-1800 | 2006-05-15 |
| Find all providers in BEVERLY HILLS | ||||
| City | BEVERLY HILLS |
| Zip Code | 90210 |
Please comment or provide details below to improve the information on DR. ALEXANDREA 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.