TAE WON PARK (NPI# 1538133020) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538133020 |
| Entity Type | Individual |
| Full Name | TAE WON PARK |
| Credential | M.D. |
| Practice Address |
1547 S Wayne Rd Westland MI 48186 |
| Practice Telephone | 7347293133 |
| Practice Fax Number | 7347293130 |
| Mailing Telephone | 7347293133 |
| Mailing Fax Number | 7347293130 |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2018-09-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
4301035528 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 109472710 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710273156 | Tae Sook Park | Acupuncturist | 903 S. Crenshaw Blvd, 302, Los Angeles, CA 90019 | 2011-06-23 |
| 1790870996 | Tae H Park | Dentist | 1875 E Alluvial Ave, Suite 102, Fresno, CA 93720-3856 | 2006-10-04 |
| 1336230259 | Tae K Park | Internal Medicine | 724 8th Ave, Brooklyn, NY 11215-4204 | 2006-09-27 |
| 1376560805 | Tae Sung Park | Neurological Surgery | 1 Childrens Pl Fl 1, 1st Fl, Saint Louis, MO 63110-1002 | 2006-07-17 |
| 1346297660 | Tae J. Park | Internal Medicine | 512 W Rosedale St, Fort Worth, TX 76104-4619 | 2006-05-30 |
| 1275015364 | Tae Park | Pharmacist | 1640 Hopkins Rd, Williamsville, NY 14221-1752 | 2018-09-05 |
| 1669751772 | Tae E Park | Pharmacist | 230 Park Ave, M-sp1-01, Florham Park, NJ 07901 | 2011-08-05 |
| 1093940249 | Tae Keun Park | Emergency Medicine | 300 Community Dr, Department of Emergency Medicine, Manhasset, NY 11030-3816 | 2009-05-18 |
| 1043308984 | Tae Park | Pharmacist | 1450 Chapel St, Pharmacy Department, New Haven, CT 06511-4405 | 2006-10-10 |
| 1932141942 | Tae Park | Radiology | University Hospital L2, Stony Brook, NY 11794-0001 | 2006-06-12 |
| Street Address |
1547 S WAYNE RD |
| City | WESTLAND |
| State | MI |
| Zip Code | 48186 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548760036 | Kathleen Tayeh | Social Worker | 1547 S Wayne Rd, Westland, MI 48186-5436 | 2018-02-20 |
| 1619315538 | Apex Behavioral Health Western-wayne | Psychiatry & Neurology | 1547 S Wayne Rd, Westland, MI 48186-5436 | 2013-06-13 |
| 1962779710 | Apex Behavioral Health Western Wayne | Social Worker | 1547 S Wayne Rd, Westland, MI 48186-5436 | 2011-11-22 |
| 1669764734 | Apex Behavioral Health | Social Worker | 1547 S Wayne Rd, Westland, MI 48186-5436 | 2011-05-09 |
| 1548407141 | Alicia C Shamblin | Counselor | 1547 S Wayne Rd, Westland, MI 48186 | 2009-01-20 |
| 1588826986 | Carla Lee | Counselor | 1547 S Wayne Rd, Westland, MI 48186-5436 | 2008-06-26 |
| 1306008958 | Jill Blackson | Social Worker | 1547 S Wayne Rd, Westland, MI 48186-5436 | 2008-06-25 |
| 1396905386 | Stacey Lynn Porreca | Counselor | 1547 S Wayne Rd, Westland, MI 48186-5436 | 2008-06-12 |
| 1831363332 | Barbara Jean Payne | Psychologist | 1547 S Wayne Rd, Westland, MI 48186-5436 | 2008-04-15 |
| 1104099100 | Keith Cornell Dlugokinski | Psychologist | 1547 S Wayne Rd, Westland, MI 48186-5436 | 2008-04-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811539562 | Danny's Pharmacy | Pharmacy | 1629 S Merriman, Westland, MI 48186 | 2019-10-15 |
| 1740777499 | Nicole Marie Milz | Social Worker | 32517 Dorsey St, Westland, MI 48186 | 2018-04-18 |
| 1417483678 | Heidi Harmony Romero | Nurse Practitioner | 1952 Treadwell St, Westland, MI 48186 | 2017-05-10 |
| 1578010013 | Marguerite Wilhemina Way | Private Vehicle | 2439 Stieber St., Westland, MI 48186 | 2016-09-01 |
| 1275991440 | Robie Mcqueen | Counselor | 2661 Stieber St, Westland, MI 48186 | 2016-02-03 |
| 1134486558 | All About Baby | Case Management | 1620 Leslie St, Westland, MI 48186 | 2012-04-23 |
| 1619242013 | Sure Care Enterprises, LLC | Home Health | 400 Venoy, Westland, MI 48186 | 2012-03-19 |
| 1033388442 | Diane Marie Dart-baden | Psychologist | 1547 South Wayne Road, Westland, MI 48186 | 2008-02-29 |
| 1649448002 | Ameri Group Services, Inc. | Durable Medical Equipment & Medical Supplies | 1150 S Wayne Rd, Westland, MI 48186 | 2008-02-19 |
| 1285816645 | Choices 4 Transportation Service, LLC | Non-emergency Medical Transport (VAN) | 29063 Currier Avenue, Westland, MI 48186 | 2007-11-28 |
| Find all providers in zip 48186 | ||||
| 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 |
|---|---|---|---|---|
| 1134217490 | Tabassum Kahkashan | Psychiatry & Neurology | 8623 N Wayne Rd Ste 200, Westland, MI 48185-1137 | 2006-10-11 |
| 1972566909 | Sreedharan D Nair | Psychiatry & Neurology | 37664 Ford Rd, Westland, MI 48185-1924 | 2006-04-10 |
| 1437119872 | Ellen Rotblatt | Psychiatry & Neurology | 30901 Palmer Rd, Westland, MI 48186 | 2006-03-27 |
| 1831161629 | Sujin Chung | Psychiatry & Neurology | 1547 S Wayne, Westland, MI 48186-5436 | 2006-02-06 |
| 1679544209 | Jun Tae Cho | Psychiatry & Neurology | 841 N Wayne Rd, Westland, MI 48185 | 2006-01-31 |
| 1619315538 | Apex Behavioral Health Western-wayne | Psychiatry & Neurology | 1547 S Wayne Rd, Westland, MI 48186-5436 | 2013-06-13 |
| 1295178739 | Pawel Andrzej Galecki | Psychiatry & Neurology | 30901 Palmer Rd, Westland, MI 48186 | 2013-04-15 |
| 1881881324 | Edgard Pedraza | Psychiatry & Neurology | 1547 S Wayne Rd, Westland, MI 48186-5436 | 2007-09-28 |
| 1801942198 | Malathy S Nair | Psychiatry & Neurology | 37664 Ford Rd, Westland, MI 48185-1924 | 2007-01-27 |
| 1194891663 | Aruna Bavineni | Psychiatry & Neurology | 30901 Palmer Rd, Westland, MI 48186-9529 | 2006-11-28 |
| Find all providers in WESTLAND | ||||
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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.