Mimi Park, MS, CCC-SLP
Mimi Park is a Speech-Language Pathologist provider (Speech-Language Pathologist) practicing in Menlo Park, CA, registered in the NPPES registry with NPI 1669132213 since 2021. Practices at Menlo Speech Pathology Inc. (listed at the same practice address in NPPES).
✓ Active NPI ✓ Valid NPI checksum Sole proprietor
| NPI | 1669132213 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Mimi Park |
| Credential | MS, CCC-SLP |
| Sex | Female |
| Practice address | Menlo Park, CA, 94025 |
| Phone | 6507149459 |
| Enumeration date | 2021-12-22 |
| Last updated in NPPES | 2021-12-22 |
Street address withheld — NPPES sole-proprietor addresses can be home addresses. See our data policy.
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist | Primary | 19011 | CA |
Copy-ready billing details
Provider: Mimi Park, MS, CCC-SLP NPI: 1669132213 Taxonomy: 235Z00000X (Speech-Language Pathologist) Address: Menlo Park, CA, 94025
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1871331421 | Menlo Speech Pathology Inc. | Organization | Clinic/Center | Menlo Park, CA |
Verify this record
Cross-check NPI 1669132213 against the authoritative CMS record: view Mimi Park on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2021-12-22.