Stacey Park, PHD
Clinical Child & Adolescent Psychologist · Fircrest, WA
Stacey Park, PHD is a clinical child & adolescent psychologist with a practice address in Fircrest, Washington, and NPI 1659801173, issued on Jun 18, 2017. Check the license (Washington PY60880262, as entered in NPPES) with the Washington board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Stacey Park
- Credential
- PHD
- Primary taxonomy
- Clinical Child & Adolescent Psychologist 103TC2200X
- License numbers
- PY60880262 WA
28774 CA
Self-reported in NPPES; status is on the state search - Practice location
- 6314 19TH St W Ste 14, Fircrest, WA 98466
- Phone
- (253) 239-2310
- Enumerated
- Jun 18, 2017
- Record last updated
- Jun 25, 2022
- Fax
- (253) 239-2311
- Entity
- Type 1 · individual
8 nearest clinical child & adolescent psychologist records → All 132 in Washington → Look up another NPI →
Verify Stacey Park in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Washington board licenses this profession
Search for license PY60880262Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Stacey Park among 132 clinical child & adolescent psychologist records in Washington
Stacey Park, PHD is one of 132 clinical child & adolescent psychologist records with a practice address in Washington. 3% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2017, is newer than 80% of them.
- NPI issued2017 · 80% of these records are older, 17% newer
- In a Medicare fileNo · 3% of these records are
- In the CMS Doctors and Clinicians fileNo · 9% of these records are
- Record last updated2022 · 68% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 103TC2200X and a Washington practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Clinical Child & Adolescent Psychologist providers in Washington
There are 132 clinical child & adolescent psychologist records in Washington. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
All 132 in Washington → Every provider in Fircrest → Clinical Child & Adolescent Psychologist nationwide →
The 8 clinical child & adolescent psychologist records with the nearest ZIP codes
- Barry Anton, PH.D.Tacoma, WA 984671649326554
- Naomi Huddlestone, PH.D.Tacoma, WA 984671699811778
- Patricia Matestic, PH.D.Tacoma, WA 984381710211479
- Kelly Gutierrez, PHDLakewood, WA 984981982190310
- Elizabeth Anderson, PHDTacoma, WA 984311134169261
- David Callies, PSY.D.Tacoma, WA 984311285682914
- Diana Frey, PH.D.Tacoma, WA 984311811225584
- Kara Meyer, PH.D.Olympia, WA 985011740591486
Common questions
What is Stacey Park, PHD's NPI number?
Stacey Park, PHD's National Provider Identifier (NPI) is 1659801173, issued on Jun 18, 2017. An NPI identifies a provider in billing; it is not a license.
Where is Stacey Park, PHD located?
The NPPES record lists a practice address at 6314 19TH St W Ste 14, Fircrest, WA, 98466. Phone: (253) 239-2310. Providers update this record themselves, so call before visiting.
How can I verify Stacey Park, PHD's license?
NPPES lists Washington license number PY60880262, as entered by the provider. Search the Washington board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.