IndividualActive
Jacqueline Parks, MA, TLLP
NPI 1194069500 · Psychologist · Southgate, MI
Jacqueline Parks, MA, TLLP is a Psychologist provider in Southgate, MI (NPI 1194069500).
Provider details
- NPI number
- 1194069500
- Entity type
- Individual
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Credential
- MA, TLLP
- Sex
- Female
- Sole proprietor
- Yes
- License
- 6301015305 (MI)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
19291 Northline Rd
Southgate, MI 48195-2220
Phone: (734) 785-7700
Street-level locationGet directions
Mailing address
2485 W Euclid St
Detroit, MI 48206-2441
Registry dates
- Enumerated
- 2012-11-26
- Last updated
- 2012-11-26
Frequently asked questions
- What is Jacqueline Parks's NPI number?
- Jacqueline Parks's National Provider Identifier (NPI) is 1194069500, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jacqueline Parks's specialty?
- Jacqueline Parks is listed in the NPPES registry with a primary specialty of Psychologist (Behavioral Health & Social Service Providers).
- Where is Jacqueline Parks located?
- Jacqueline Parks's practice location on file with NPPES is 19291 Northline Rd, Southgate, MI 48195-2220.
- What is Jacqueline Parks's phone number?
- The practice phone number listed in the NPPES registry for Jacqueline Parks is (734) 785-7700.
- Is Jacqueline Parks's NPI active?
- Yes — Jacqueline Parks's NPI (1194069500) is active in the NPPES registry as of the last update on 2012-11-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.