Janet Park

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

6843 Issued in MA

Practice address

106 Central St
Wellesley, MA 02481-8203

Phone

(781) 283-2839

NPI assigned

Jan 13, 2016

Last updated

Jan 13, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Wellesley College Health Service

  • Internal Medicine Physician
  • Wellesley, MA
  • NPI 1366573891
  NPD (past)

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

{
    "created_epoch": "1452643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452643200000",
    "number": "1659737179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 CENTRAL ST",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024818203",
            "telephone_number": "781-283-2839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 CENTRAL ST",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024818203",
            "telephone_number": "781-283-2839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "JANET",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-13",
        "last_updated": "2016-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "RI",
            "license": "PS00550",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MA",
            "license": "6843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shamvil Panjwani, MD
• Charles C Pao, MD
• Karen Pappas, DMD
• Pamela Pappas, DMD
• Kathleen Ann Parandes, OTR/L
• Alexandra Parkinson, PSY.D.
• Melinda Parsons, RDH
• Susan J Patchen, LICSW
• Deidre Patel, MD
• Jennifer Paterson, M.D.

• Counseling Psychologist in Wellesley, MA
• Providers in Wellesley, MA by specialty
• Counseling Psychologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2016; 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.