Robert Park, PSY.D.
NPI 1053472605 · Psychologist · Stockton, CA
Enrolled with Medicare as Practitioner - Clinical Psychologist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Robert Park, PSY.D. is a Psychologist provider in Stockton, CA (NPI 1053472605).
Provider details
- NPI number
- 1053472605
- Entity type
- Individual
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Credential
- PSY.D.
- Sex
- Male
- Sole proprietor
- No
- License
- PSY20153 (CA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-12-13
- Last updated
- 2022-01-03
Frequently asked questions
- What is Robert Park's NPI number?
- Robert Park's National Provider Identifier (NPI) is 1053472605, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Robert Park's specialty?
- Robert Park is listed in the NPPES registry with a primary specialty of Psychologist (Behavioral Health & Social Service Providers).
- Where is Robert Park located?
- Robert Park's practice location on file with NPPES is 1305 Tommydon St, Stockton, CA 95210-3364.
- What is Robert Park's phone number?
- The practice phone number listed in the NPPES registry for Robert Park is (209) 476-5211.
- Does Robert Park accept Medicare?
- Robert Park is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Robert Park's NPI active?
- Yes — Robert Park's NPI (1053472605) is active in the NPPES registry as of the last update on 2022-01-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.