Individual provider Active NPI

Hy Gia Young Park, MPH, MS, MD

  • Psychiatry Physician
  • Lone Tree, CO
National Provider Identifier
1649444829
Registry record updated Jan 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
CDRH49710 Issued in CO
Practice address
10099 Ridgegate Pkwy Ste 420
Lone Tree, CO 80124-5536
Phone
(720) 209-8537
Fax
(303) 756-1920
NPI assigned
Apr 17, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X CDRH49710 CO
Psychiatry Physician 2084P0800X CDRH49710 CO Primary

Addresses

Primary practice location

10099 Ridgegate Pkwy Ste 420
Lone Tree, CO 80124-5536

Mailing address

10099 Ridgegate Pkwy Ste 420
Lone Tree, CO 80124-5536
Phone (720) 209-8537

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine, Master of Science

State licenses

LicenseStateTypeSpecialty
CDRH49710COMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Agami Health Services LLC Psychiatry Current Accepting new patients
The Mind Store, LLC Psychiatry Current Accepting new patients
TMS Store Psychiatry Current Accepting new patients

Locations

950 S Cherry St
Ste 410
Denver, CO 80246
Phone (303) 507-5035

10099 Ridgegate Pkwy
Ste 420
Lone Tree, CO 80124
Phone (303) 800-6463

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1208390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706659200000",
    "number": "1649444829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10099 RIDGEGATE PKWY STE 420",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801245536",
            "telephone_number": "720-209-8537",
            "fax_number": "303-756-1920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10099 RIDGEGATE PKWY STE 420",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801245536",
            "telephone_number": "720-209-8537",
            "fax_number": "303-756-1920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "HY GIA",
        "middle_name": "YOUNG",
        "credential": "MPH, MS, MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-17",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "CO",
            "license": "CDRH49710",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CO",
            "license": "CDRH49710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lone Tree, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2024; 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.