Jae Mu Park, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

D0020755 Issued in MD

Practice address

6655 Sykesville Rd
Sykesville, MD 21784-7966

Phone

(410) 970-7000

Fax

(410) 970-7024

NPI assigned

Jan 20, 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1137715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1962482240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2206 MOUNT HEBRON CT",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210421809",
            "telephone_number": "410-465-0409",
            "fax_number": "410-465-6154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6655 SYKESVILLE RD",
            "city": "SYKESVILLE",
            "state": "MD",
            "postal_code": "217847966",
            "telephone_number": "410-970-7000",
            "fax_number": "410-970-7024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "JAE",
        "middle_name": "MU",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-20",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "D0020755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Sacatropez Pacquing, PHARMD
• Paula Palladino, M.D.
• Andria Patricia Palmer, LMSW
• Jessica Paraway
• Clara Ann Paris, COTA/R, CPHT
• Kunjal Kiran Patel, PHARM. D.
• Mansi Patel
• Pem Wellness LLC
• Jacqueline Christine Perry
• Gary L Persing, PT

• Psychiatry Physician in Sykesville, MD
• Providers in Sykesville, MD by specialty
• Psychiatry Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.