Mee Park, MD, Rpllc

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MD433725 Issued in PA

Legal business name

MEE PARK, MD, RPLLC

Practice address

711 West Ave Ste 2
Jenkintown, PA 19046-2709

Phone

(267) 422-2740

Fax

(215) 330-4802

NPI assigned

Jan 28, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Mee Soon Park, MDNPI 1174689764

Title

Physician

Phone

(267) 422-2740

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mee Soon Park, MD

  • Psychiatry Physician
  • Jenkintown, PA
  • NPI 1174689764
  NPD Authorized official

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

{
    "created_epoch": "1517097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685577600000",
    "number": "1447758149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 WEST AVE STE 2",
            "city": "JENKINTOWN",
            "state": "PA",
            "postal_code": "190462709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 WEST AVE STE 2",
            "city": "JENKINTOWN",
            "state": "PA",
            "postal_code": "190462709",
            "telephone_number": "267-422-2740",
            "fax_number": "215-330-4802"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "413 Johnson St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Jenkintown",
            "state": "PA",
            "postal_code": "190462702",
            "country_code": "US",
            "telephone_number": "267-422-2740",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MEE PARK, MD, RPLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-28",
        "last_updated": "2023-06-01",
        "certification_date": "2023-06-01",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "MEE",
        "authorized_official_middle_name": "SOON",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "267-422-2740",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD433725",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1174689764",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Eileen McSorley, CRNP
• Meadowbrook Home Care
• Medequip, LLC
• Medical LTD
• Elizabeth Minges Medina, CRNP
• Meetings With Meaning for Healthcare Professionals, Inc.
• Melissa Appel LCSW PLLC
• Mending Space Therapy LLC
• Ann Mertens, M.AC., L.AC.
• Methodist Associates Healthcare, Inc.

• Psychiatry Physician in Jenkintown, PA
• Providers in Jenkintown, PA by specialty
• Psychiatry Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.