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PARK PSYCHOLOGY, PLLC

Company Details

Name: PARK PSYCHOLOGY, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 25 Mar 2021 (4 years ago)
Entity Number: 5973332
ZIP code: 10010
County: New York
Place of Formation: New York
Address: ATTENTION: PAUL J. PARK, PSYD, 1115 BROADWAY, 12TH FL., NEW YORK, NY, United States, 10010

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent ATTENTION: PAUL J. PARK, PSYD, 1115 BROADWAY, 12TH FL., NEW YORK, NY, United States, 10010

National Provider Identifier

NPI Number:
1144800194
Certification Date:
2021-04-13

Authorized Person:

Name:
DR. PAUL J PARK
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
103T00000X - Psychologist
Is Primary:
No
Selected Taxonomy:
103TC0700X - Clinical Psychologist
Is Primary:
No
Selected Taxonomy:
261QM0850X - Adult Mental Health Clinic/Center
Is Primary:
Yes

Contacts:

Filings

Filing Number Date Filed Type Effective Date
210325000504 2021-03-25 ARTICLES OF ORGANIZATION 2021-03-25

Date of last update: 22 Mar 2025

Sources: New York Secretary of State