Parks Associates, P.C. in Portage - Clinical

Parks Associates, P.C. - NPI 1518126721

Parks Associates, P.C. is a Clinical in Portage, Indiana. Parks Associates, P.C. practices all healthcare services and medical treatments related to Clinical. The NPI Number for Parks Associates, P.C. is 1518126721. The last update date is 2008-06-03.

Parks Associates, P.C.'s current location address is 6337 Central Ave, Portage, Indiana. You can contact this provider via phone number 2197631499 and fax number 2197647025. The mailing address for Parks Associates, P.C. is 6337 Central Ave, Portage, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Organization Parks Associates, P.C.
Address 6337 Central Ave, Portage, Indiana
Phone Number 2197631499
Fax Number 2197647025
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Parks W. David
Credentials PSY.D.
Telephone Number 2197631499

NPI Number Detail

NPI Number 1518126721
Provider Enumeration Date 2008-06-03
Last Updated Date 2008-06-03

Provider Mailing Address Detail

Address 6337 Central Ave
City Portage
State Indiana (IN)
Post Code 463683801
Phone Number 2197631499
Fax Number 2197647025

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 103Tc0700X
Licence No 20040984A
Definition:
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
200049630B IN --

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FAQs about Parks Associates, P.C.

What is the unique identifier code issued to Parks Associates, P.C. by the Centers for Medicare & Medicaid Services (CMS)?

The Parks Associates, P.C. has been assigned the NPI (National Provider Identifier) 1518126721. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete address where Parks Associates, P.C. is physically located?

The Parks Associates, P.C. is situated at the following address: 6337 Central Ave, Portage, IN 463683801.

What is the Parks Associates, P.C.'s specialty and taxonomy code?

The Parks Associates, P.C.'s specialty is Clinical, and the corresponding taxonomy code is 103Tc0700X.

On what date did the Centers for Medicare & Medicaid Services assign the 1518126721 to Parks Associates, P.C.?

The Centers for Medicare & Medicaid Services assigned the 1518126721 to Parks Associates, P.C. on 2008-06-03.

As of what date was the information pertaining to Parks Associates, P.C., such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Parks Associates, P.C., including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-06-03.

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