So Yeon Park
Psychologist • Riverton, UT
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, So Park has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
So Park was a registered Psychologist practicing in Riverton, UT. Throughout an active medical career spanning 4 years, So Park provided care at the practice location at 3723 W 12600 S until profile deactivation on 2026-07-09.
Practice Location & Contact Primary Location
3723 W 12600 S
Riverton, UT 840657295
Specialty Benchmarks & Practice Insights
Comparative analytics for Psychologist in Riverton, UT
Practicing in Riverton, UT (447 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
CMS Verified: 2026-08-03NUCC Taxonomy Code: 103T00000X
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Nurse Practitioner
Advanced Practice Registered Nurse
Pediatrics
Doctor of Medicine (M.D.)
Pediatrics
Doctor of Medicine (M.D.)
Pediatrics
Doctor of Medicine (M.D.)
Pediatrics
Doctor of Medicine (M.D.)
Pediatrics
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Registered at 3723 W 12600 S, RIVERTON, UT 840657295 (Tel: 8012854543)
Registered at PO BOX 27128, SALT LAKE CITY, UT 841270128
Recorded as SO PARK
Psychologist (License #14284686-2501 in UT)
Record deactivated on July 09, 2026
NPI status registered as active in NPPES database
Registered at 2401 GILLHAM RD, KANSAS CITY, MO 641084619 (Tel: 8162343000)
Registered at 2401 GILLHAM RD, KANSAS CITY, MO 641084619 (Tel: 8162343000)
Recorded as SO PARK
Student in an Organized Health Care Education/Training Program
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
Po Box 27128
Salt Lake City, UT 841270128
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