| Dr Evan Daniel Parks, PSYD | |
|
350 Lafayette Ave Se, Grand Rapids, MI 49503-4656 | |
| (616) 840-8402 | |
| (616) 840-9771 |
| Full Name | Dr Evan Daniel Parks |
|---|---|
| Gender | Male |
| Speciality | Clinical Psychologist |
| Experience | 33 Years |
| Location | 350 Lafayette Ave Se, Grand Rapids, Michigan |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437452406 | NPI | - | NPPES |
| 1437452406 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 6301006916 (Michigan) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Kalkaska Memorial Health Center | 3577536002 | 50 |
| Entity Name | Kalkaska Memorial Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013183060 PECOS PAC ID: 3577536002 Enrollment ID: O20040813000668 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Evan Daniel Parks, PSYD 235 Wealthy St Se, Grand Rapids, MI 49503-5247 Ph: (616) 840-8000 | Dr Evan Daniel Parks, PSYD 350 Lafayette Ave Se, Grand Rapids, MI 49503-4656 Ph: (616) 840-8402 |
Dynetta Clark, MA, LLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 805 Leonard St Ne, Grand Rapids, MI 49503 Phone: 616-451-2021 Fax: 616-774-1001 | |
Mrs. Amy E Pugh, PSYD Psychologist Medicare: Medicare Enrolled Practice Location: 35 Michigan St Ne Ste 5201, Grand Rapids, MI 49503 Phone: 616-267-2830 Fax: 616-267-9024 | |
Meghan Cytacki-lewis, MA, TLLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 333 Bridge St Nw Ste 1120, Grand Rapids, MI 49504 Phone: 616-805-3660 | |
Jehricole Olenzuk, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 829 Forest Hill Ave Se, Grand Rapids, MI 49546 Phone: 616-949-2410 | |
Adrian Hernandez, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 360 E Beltline Ave Ne Ste 100, Grand Rapids, MI 49506 Phone: 616-805-3660 | |
Marcia Hollingsworth, EDD Psychologist Medicare: Medicare Enrolled Practice Location: 1870 Leonard Ne, Grand Rapids, MI 49505 Phone: 616-956-1122 Fax: 616-956-8033 | |
Dr. Kathryn Mclean, PSY.D. Psychologist Medicare: Medicare Enrolled Practice Location: 235 Wealthy St Se, Grand Rapids, MI 49503 Phone: 616-840-8005 |