Alice Park, MD
NPI 1891795076 · Psychiatry Physician · Stockton, CA
Enrolled with Medicare as Practitioner - Psychiatry · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Alice Park, MD is a Psychiatry Physician provider in Stockton, CA (NPI 1891795076).
Provider details
- NPI number
- 1891795076
- Entity type
- Individual
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- L8157 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
- 2005-07-28
- Last updated
- 2021-12-27
Frequently asked questions
- What is Alice Park's NPI number?
- Alice Park's National Provider Identifier (NPI) is 1891795076, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Alice Park's specialty?
- Alice Park is listed in the NPPES registry with a primary specialty of Psychiatry Physician (Allopathic & Osteopathic Physicians).
- Where is Alice Park located?
- Alice Park's practice location on file with NPPES is 1305 Tommydon St, Stockton, CA 95210-3364.
- What is Alice Park's phone number?
- The practice phone number listed in the NPPES registry for Alice Park is (209) 476-5200.
- Does Alice Park accept Medicare?
- Alice Park is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Alice Park's NPI active?
- Yes — Alice Park's NPI (1891795076) is active in the NPPES registry as of the last update on 2021-12-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.