Individual provider · Type 1 NPI

Mi N. Park

Psychologist · San Mateo, CA

NPI number 1013140268 Active

Practice location

1777 Borel Pl Ste 210
San Mateo, CA 94402-3511

Specialties and licenses

Taxonomy	Code	License
Psychologist Primary	103T00000X	PSY27071 (CA)

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 adjustmen…

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About NPI 1013140268

Mi N. Park's National Provider Identifier is 1013140268, issued on Sep 3, 2009. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in San Mateo, CA. The record was last updated on Oct 31, 2025.