Brian Park, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

202639-1 Issued in NY

Practice address

465 Broadway
Kingston, NY 12401-4627

Phone

(845) 340-0244

Fax

(845) 340-0141

NPI assigned

Aug 29, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

Albany Medical College of Union University, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hudson Valley Mental Health, Inc.

  • Clinical Social Worker
  • Poughkeepsie, NY
  • NPI 1356393862
  NPD
• Orange Counseling Associates

  • Community/Behavioral Health Agency
  • Newburgh, NY
  • NPI 1235514019
  NPD (past)
• Spectrum Behavioral Management Services, Inc.

  • Cognitive & Behavioral Psychologist
  • Poughkeepsie, NY
  • NPI 1629051149

  Psychiatry

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217980800000",
    "number": "1104935998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 BROADWAY",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124014627",
            "telephone_number": "845-340-0244",
            "fax_number": "845-340-0141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 BROADWAY",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124014627",
            "telephone_number": "845-340-0244",
            "fax_number": "845-340-0141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "BRIAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2008-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "202639-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dineshkant N Parikh, M.D.
• Himanshu Parikh, MD
• Nirmal K Parikh, MD
• Jackie Parisi
• Park Opticians
• Eugene Park, DDS
• Holly Parker, NP
• Michaela Rose Passero, MHC-LP
• Bharat C Patel, DDS
• Deepak Rameshchandra Patel, MD

• Psychiatry Physician in Kingston, NY
• Providers in Kingston, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.