Laura Park, PSYD
NPI 1679394373ActiveIndividual· Psychologist· Camden, NJ
Psychologist (PSYD) with Cooper Physician Offices PA, practicing in Camden, New Jersey. Enrolled in Medicare as practitioner - psychologist billing independently. Lists Cooper University Hospital as a hospital affiliation.
Overview
| NPI | 1679394373 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PSYD |
| Sole proprietor | No |
| NPI issued | Oct 24, 2024 |
| Last updated in NPPES | Dec 23, 2024 |
| Certified by provider | Dec 23, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | 35SI00763000 | NJ |
| Psychologist | 103T00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Psychologist Billing Independently (NJ) |
|---|
Education and affiliations
| Graduation year | 2023 |
|---|---|
| Medicare specialty | Clinical Psychologist |
Medical group
- Cooper Physician Offices PACamden, NJ · 337 clinicians
Hospital affiliation
- Cooper University HospitalCamden, NJ
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All 26 psychologists in Camden · All psychologists in New Jersey