Park Psychiatry, PLLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

PARK PSYCHIATRY, PLLC

Practice address

1020 Southhill Dr Ste 320
Cary, NC 27513-8629

Phone

(919) 213-8758

NPI assigned

May 8, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Eliza Myung Park, MDNPI 1669544607

Title

Manager/Employee

Phone

(617) 721-1271

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 1

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

• Eliza Myung Park, M.D.

  • Psychiatry Physician
  • Cary, NC
  • NPI 1669544607
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1683504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683504000000",
    "number": "1760171508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "459 S GREENSBORO ST",
            "city": "CARRBORO",
            "state": "NC",
            "postal_code": "275102354",
            "telephone_number": "617-721-1271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 SOUTHHILL DR STE 320",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275138629",
            "telephone_number": "919-213-8758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK PSYCHIATRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-08",
        "last_updated": "2023-05-08",
        "certification_date": "2023-05-06",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "ELIZA",
        "authorized_official_middle_name": "MYUNG",
        "authorized_official_title_or_position": "MANAGER/EMPLOYEE",
        "authorized_official_telephone_number": "617-721-1271",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nirja Rakesh Parikh, PT, DPT
• Roopal Parikh, PHARM D
• Valentino Parini, DC
• Meghan Belanger Paris, DPT
• Park Gastroenterology, PLLC
• Park Urgent Care PLLC
• Eliza Myung Park, M.D.
• Eunjin Lynn Park, CRNA
• Hanna Park, PHARMD
• Junhie Youngkyung Park, D.D.S.

• Psychiatry Physician in Cary, NC
• Providers in Cary, NC by specialty
• Psychiatry Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.