LEE CRANDALL PARK (NPI# 1770671281) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770671281 |
| Entity Type | Individual |
| Full Name | LEE CRANDALL PARK |
| Credential | M.D. |
| Practice Address |
1205 York Rd Suite 35 Lutherville MD 21093-6210 |
| Practice Telephone | 4103211276 |
| Practice Fax Number | 4104338793 |
| Mailing Telephone | 4103211276 |
| Mailing Fax Number | 4104338793 |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
D0009446 | MD | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477832459 | Lee Seob Park | Chiropractor | 14701 Lee Hwy, Suite 307, Centreville, VA 20121-2137 | 2011-08-09 |
| 1972630333 | Lee H. Park | Internal Medicine | 55 Fruit St, Bul 015, Boston, MA 02114-2621 | 2007-02-27 |
| Street Address |
1205 YORK RD SUITE 35 |
| City | LUTHERVILLE |
| State | MD |
| Zip Code | 21093-6210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104820828 | Mark Frederic Williams | Otolaryngology | 1205 York Rd, Ste 33, Lutherville, MD 21093-6211 | 2005-06-09 |
| 1679922785 | Rujuta P Shah | Physical Therapist | 1205 York Rd, Suite 19, Lutherville, MD 21093-6210 | 2016-06-09 |
| 1437506334 | Deepti Pradhan | Psychologist | 1205 York Rd, Suite 11, Lutherville, MD 21093-6210 | 2016-05-20 |
| 1609258722 | Jun Park D.d.s.,p.a. | Dentist | 1205 York Rd, Suite 25a, Lutherville, MD 21093-6210 | 2015-06-25 |
| 1912301722 | Amy Waldron | Counselor | 1205 York Rd, 300 C, Lutherville, MD 21093-6210 | 2014-10-22 |
| 1437558947 | Debra Ann Snow-trueschler | Counselor | 1205 York Rd, Suite 39b, Lutherville, MD 21093-6210 | 2014-08-20 |
| 1619220472 | Hae Young Hong | Dentist | 1205 York Rd, Lutherville, MD 21093-6210 | 2012-10-17 |
| 1770847592 | Judith Berg | Social Worker | 1205 York Rd, Lutherville, MD 21093-6210 | 2012-06-26 |
| 1831457563 | Lifebridge Community Physicians, Inc | Pediatrics | 1205 York Rd, Suite 18, Lutherville, MD 21093-6210 | 2012-05-01 |
| 1528350790 | Neurology Institute | Specialist | 1205 York Rd, Suite 18, Lutherville, MD 21093-6210 | 2011-05-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497309959 | Megan Lagergren | Social Worker | 1407 York Rd. Suite 307, Baltimore, MD 21093 | 2019-08-01 |
| 1437629003 | Mary Ann Lopus | Counselor | Villa Maria School 2300 Dulaney Valley Road, Timonium, MD 21093 | 2018-11-27 |
| 1275001455 | Hannah Michele Breckenridge | Social Worker | 1212 York Rd Ste A302, Lutherville, MD 21093 | 2018-11-06 |
| 1386111573 | Christina Calabrese | Social Worker | Villa Maria School, 2300 Dulaney Valley Road, Timonium, MD 21093 | 2018-10-26 |
| 1790279735 | Synopsis Healthscience | Internal Medicine | 19 Huntress Ct, Timonium, MD 21093 | 2018-06-21 |
| 1134648629 | Centers for Advanced Orthopaedics, LLC | Occupational Therapist | 1312 Bellona Ave Ste 302, Lutherville, MD 21093 | 2017-09-15 |
| 1134647746 | Andrea Stokes Rackowski | Social Worker | 1400 Front Ave. Suite 305, Lutherville, MD 21093 | 2017-09-03 |
| 1790200780 | Judson Franklin Force Jr. | Pediatrics | 309 Overlook Dr, Timonium, MD 21093 | 2017-08-10 |
| 1942722053 | Eundae Suk | Chiropractor | 1407 York Rd Ste 302, Lutherville, MD 21093 | 2017-07-10 |
| 1508301482 | Bh Brightview Mays Chapel Ridge Opco, LLC | Alzheimer Center (Dementia Center) | 12261 Roundwood Road, Timonium, MD 21093 | 2016-12-30 |
| Find all providers in zip 21093 | ||||
| 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 |
|---|---|---|---|---|
| 1669691416 | Safiyyah H Abdul Rahman | Psychiatry & Neurology | 2324 W Joppa Rd Ste 420, Lutherville, MD 21093-4620 | 2007-04-24 |
| 1457579880 | Vikram N Shah | Psychiatry & Neurology | 1447 York Rd Ste 700, Lutherville, MD 21093-6099 | 2007-04-23 |
| 1710043898 | Jon Meyer | Psychiatry & Neurology | 2210 Dalewood Rd, Lutherville, MD 21093-2703 | 2006-12-31 |
| 1548735525 | Nelia Sarmiento | Psychiatry & Neurology | 1447 York Rd Ste 506, Lutherville, MD 21093-6022 | 2018-10-05 |
| 1750725958 | Stephanie Ann Solazzo | Psychiatry & Neurology | 2324 W Joppa Rd, Lutherville, MD 21093-4615 | 2013-04-18 |
| 1548411564 | David Goodman | Psychiatry & Neurology | 10751 Falls Rd, 306, Lutherville, MD 21093-4517 | 2008-10-08 |
| 1326218371 | Olga M P. Rossello | Psychiatry & Neurology | 101 W Ridgely Rd, Suite 7a, Lutherville, MD 21093-5101 | 2008-03-05 |
| 1669501805 | Suburban Psychiatric Associates, L.L.C. | Psychiatry & Neurology | 10751 Falls Rd, Falls Concourse, Suite 306, Lutherville, MD 21093-4517 | 2007-03-05 |
| 1740345420 | Victor Ferrans | Psychiatry & Neurology | 2324 W Joppa Rd, Suite 220, Lutherville, MD 21093-4615 | 2006-12-24 |
| 1407910730 | Edward Joseph Swanton | Psychiatry & Neurology | 1407 York Road, Suite 310, Lutherville, MD 21093-6054 | 2006-12-21 |
| Find all providers in LUTHERVILLE | ||||
| City | LUTHERVILLE |
| Zip Code | 21093 |
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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.