Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Samuel Park, PHD

Individual provider Clinical Psychologist · NPI 1205222510

Dr. Samuel Park, PHD is a Clinical Psychologist in Richmond, Virginia. Practices as a sole proprietor. Licensed in Virginia.

Licensed in
VA
In the registry since
2015
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

1201 Broad Rock Blvd
Richmond, VA 23249-0001
Phone: (804) 675-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 0810005121 (VA)

Record details

NPI number1205222510
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedApril 13, 2015
Last updated in NPPESJuly 25, 2019

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