DR. JENNIFER M PARK (NPI# 1063402147) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063402147 |
| Entity Type | Individual |
| Full Name | DR. JENNIFER M PARK |
| Credential | MD |
| Practice Address |
1355 Beverly Rd Suite 225 Mc Lean VA 22101-3651 |
| Practice Telephone | 7034034204 |
| Practice Fax Number | 5712976277 |
| Mailing Telephone | 7034034204 |
| Mailing Fax Number | 5712976277 |
| Enumeration Date | 2005-10-28 |
| Last Update Date | 2016-02-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
0101248210 | VA | Allopathic & Osteopathic Physicians |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
210049 | MA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033757455 | Jennifer Park | Durable Medical Equipment & Medical Supplies | 1840 Ventura Blvd, Camarillo, CA 93010-7848 | 2019-12-16 |
| 1174095210 | Jennifer Park | Counselor | 20 S 36th St Ste 201, Camp Hill, PA 17011-4355 | 2018-12-31 |
| 1538510599 | Jennifer Park | Dentist | 5750 Dow Ave Apt 241, Alexandria, VA 22304-4071 | 2016-06-30 |
| 1568880318 | Jennifer Park | Ophthalmology | 1855 W Taylor St Ste 3.138, Chicago, IL 60612 | 2014-03-30 |
| 1427392760 | Jennifer Alane Park | Social Worker | 7000 Oak Forest Ln, Bethesda, MD 20817-2124 | 2012-11-26 |
| 1063024552 | Jennifer Park | Pharmacist | 520 Convery Blvd, Perth Amboy, NJ 08861 | 2020-08-18 |
| 1740817642 | Jennifer Eun Kyong Park | Student in an Organized Health Care Education/Training Program | 10833 Le Conte Ave # Chs27139, Los Angeles, CA 90095-3075 | 2020-03-23 |
| 1417594672 | Jennifer Park | Pharmacist | 1650 Decoto Rd, Union City, CA 94587-3544 | 2019-12-06 |
| 1083260558 | Jennifer Park | Social Worker | 323 W Mulberry St, Watseka, IL 60970-1568 | 2019-08-12 |
| 1982265948 | Jennifer Heijoon Park | Student in an Organized Health Care Education/Training Program | 20 York St, New Haven, CT 06510-3220 | 2019-06-21 |
| Street Address |
1355 BEVERLY RD SUITE 225 |
| City | MC LEAN |
| State | VA |
| Zip Code | 22101-3651 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992964811 | Germain Plastic Surgery Pllc | Plastic Surgery | 1355 Beverly Rd, Suite 220, Mc Lean, VA 22101-3651 | 2008-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104452630 | Kyle Rose | Counselor | 1360 Beverly Road, Suite 200, Mclean, VA 22101 | 2020-03-16 |
| 1760036206 | Chesapeake Eye Care & Laser Center LLC | Ophthalmology | 6845 Elm Street Ste 250, Mclean, VA 22101 | 2019-08-01 |
| 1326691759 | Vansay Vorrasane | Physical Therapist | 1735 Kirby Road, Mclean, VA 22101 | 2019-07-24 |
| 1912464025 | Veronica Martinez | Occupational Therapist | 1735 Kirby Rd., Mclean, VA 22101 | 2019-02-25 |
| 1114409547 | Katia Julio Salomao | Behavior Technician | 1651 Old Meadow Rd Suite 600, Mclean, VA 22101 | 2018-09-01 |
| 1871086157 | Steeple Run Associates, LLC | In Home Supportive Care | 1499 Chain Bridge Road, Suite 203-a, Mclean, VA 22101 | 2018-06-11 |
| 1982110565 | Jennifer Gallagher Munroe | Counselor | 1485 Chain Bridge Rd Ste 300, Mc Lean, VA 22101 | 2017-12-19 |
| 1497272553 | Alireza Aram | Dentist | 8421 Broad Street, Ste 1319, Mclean, VA 22101 | 2017-08-29 |
| 1104347962 | Louise Parry | Social Worker | 1491 Chain Bridge Road #300, Weaver and Associates, Mclean, VA 22101 | 2017-07-03 |
| 1366979361 | Anita Kathleen Bryce | Social Worker | 1364 Beverly Road, #304, Mclean, VA 22101 | 2017-05-22 |
| Find all providers in zip 22101 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306301874 | Mclean Behavioral Health | Psychiatry & Neurology | 6289 Dunaway Ct, Mc Lean, VA 22101-2205 | 2019-02-08 |
| 1306388699 | Kun-huang Huang | Psychiatry & Neurology | 1202 Winter Hunt Rd, Mc Lean, VA 22102-2434 | 2016-11-17 |
| 1912309998 | Wellness Ways LLC | Psychiatry & Neurology | 1340 Old Chain Bridge Rd Ste 402, Mc Lean, VA 22101-3927 | 2014-09-21 |
| 1063845063 | David G Daniel | Psychiatry & Neurology | 1071 Cedrus Ln, Mc Lean, VA 22102-1105 | 2013-08-13 |
| 1407151277 | Jack Durell | Psychiatry & Neurology | 706 Belgrove Rd, Mc Lean, VA 22101-1836 | 2011-01-25 |
| 1265696983 | Richard K Kim | Psychiatry & Neurology | 1499 Chain Bridge Rd Ste 100, Mc Lean, VA 22101-5704 | 2008-07-11 |
| 1326219841 | Temitope O. Oyegbile | Psychiatry & Neurology | 8000 Westpark Dr Ste 140, Mc Lean, VA 22102-3197 | 2008-03-13 |
| 1205020229 | James Fernando Herrera | Psychiatry & Neurology | 1497 Chain Bridge Rd, 105, Mc Lean, VA 22101-5728 | 2007-09-03 |
| 1396942603 | Ehsan Habibpour | Psychiatry & Neurology | 6862 Elm St Ste 205, Mc Lean, VA 22101 | 2007-06-29 |
| 1902838899 | Sumit Anand | Psychiatry & Neurology | 7927 Jones Branch Dr Ste 6125, Mc Lean, VA 22102-3317 | 2006-07-07 |
| Find all providers in MC LEAN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.