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

Russell Dean Park, PHD

Individual provider Clinical Psychologist · NPI 1326020710

Russell Dean Park, PHD is a Clinical Psychologist in Jamestown, California. Licensed in California. Registered with an NPI since 2005.

Licensed in
CA
In the registry since
2005
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

5100 O'Byrnes Ferry Rd
Jamestown, CA 95327 Not confirmed with CMS for 13 years — call before visiting
Phone: (209) 984-5291
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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 PSY14275 (CA)

Record details

NPI number1326020710
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedNovember 19, 2005
Last updated in NPPESApril 4, 2013

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients300
Services billed 349 a service is one billed item, such as a visit, a test or a procedure
Average patient age80

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

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