BRIAN PARK (NPI# 1104935998) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104935998 |
| Entity Type | Individual |
| Full Name | BRIAN PARK |
| Credential | M.D. |
| Practice Address |
465 Broadway Kingston NY 12401-4627 |
| Practice Telephone | 8453400244 |
| Practice Fax Number | 8453400141 |
| Mailing Telephone | 8453400244 |
| Mailing Fax Number | 8453400141 |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2008-08-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
202639-1 | NY | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407333990 | Brian Park | Dentist | 5607 Uvalde Rd # G, Houston, TX 77049-4523 | 2018-07-26 |
| 1811014467 | Brian Keith Park | Home Health Aide | 477 White Pond Dr, Apt 421, Akron, OH 44320-1121 | 2007-03-26 |
| 1215027008 | Brian Park | Radiology | Dilorezno Tricare Health Clinic, Federal Building 2, Rm 1345, Washington, DC 20370-0001 | 2006-10-13 |
| 1467011775 | Brian Park | Student in an Organized Health Care Education/Training Program | 4610 X St, Sacramento, CA 95817-2200 | 2019-06-10 |
| 1598225070 | Brian Sooman Park | Student in an Organized Health Care Education/Training Program | 757 Westwood Plz, Los Angeles, CA 90095-6082 | 2019-03-21 |
| 1417451170 | Brian H Park | Student in an Organized Health Care Education/Training Program | 75 Francis St, Boston, MA 02115-6110 | 2018-03-19 |
| 1144757162 | Brian Park | Neurological Surgery | 200 Hawkins Dr Dept Of, Iowa City, IA 52242-1009 | 2017-05-22 |
| 1942737697 | Brian Park | Student in an Organized Health Care Education/Training Program | 833 Chestnut Street, Suite 220, Philadelphia, PA 19107-4405 | 2017-05-12 |
| 1710418744 | Brian Lim Park | Student in an Organized Health Care Education/Training Program | 1 Gustave L Levy Pl, New York, NY 10029 | 2017-03-22 |
| 1497203947 | Brian Park | Dentist | 11727 Whittier Blvd, Whittier, CA 90601-3939 | 2016-09-13 |
| Street Address |
465 BROADWAY |
| City | KINGSTON |
| State | NY |
| Zip Code | 12401-4627 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700994514 | Carmel L Gold | Social Worker | 465 Broadway, Kingston, NY 12401-4627 | 2006-08-29 |
| 1902115546 | Laurel Pelzek | Social Worker | 465 Broadway, Kingston, NY 12401-4627 | 2010-09-30 |
| 1003120924 | Mary Alice Scully | Social Worker | 465 Broadway, Kingston, NY 12401-4627 | 2010-08-03 |
| 1881757896 | Errol R. Nadler, Lcsw, P.C. | Psychiatry & Neurology | 465 Broadway, Kingston, NY 12401-4627 | 2006-12-19 |
| 1972664704 | Henriette Deknegt | Social Worker | 465 Broadway, Kingston, NY 12401-4627 | 2006-12-13 |
| 1497816219 | Jeff Perls | Social Worker | 465 Broadway, Kingston, NY 12401-4627 | 2006-12-13 |
| 1538231279 | Regina F Packard | Social Worker | 465 Broadway, Kingston, NY 12401-4627 | 2006-11-15 |
| 1447360995 | Barbara Johnston | Social Worker | 465 Broadway, Kingston, NY 12401-4627 | 2006-08-30 |
| 1740390145 | Barbara Glick | Social Worker | 465 Broadway, Kingston, NY 12401-4627 | 2006-08-30 |
| 1922118330 | William Desanna | Social Worker | 465 Broadway, Kingston, NY 12401-4627 | 2006-08-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215565783 | Health Quest Medical Practice, PC | Surgery | 1240 Ulster Avenue--breast Depart., Kingston, NY 12401 | 2020-03-31 |
| 1306474879 | Health Quest Medical Practice, PC | Surgery | 1240 Ulster Avenue --surg. Onc. Dept, Kingston, NY 12401 | 2020-03-31 |
| 1811523384 | Health Quest Medcial Practice, PC | Podiatrist | The Center for Wound Healing, 670 Stoneleigh Avenue, Carmel, NY 12401 | 2020-03-17 |
| 1013552181 | Health Quest Medical Practice, PC | Emergency Medicine | 1240 Ulster Avenue, Kingston, NY 12401 | 2019-11-13 |
| 1073156808 | Vala Conklin | Hearing Instrument Specialist | Beltone, 10 Westbrook Lane, Kingston, NY 12401 | 2019-10-24 |
| 1306304860 | Laura Juliane Isele | Dietitian, Registered | 521 Boices Lane Taconic Ddso, Kingston, NY 12401 | 2019-03-04 |
| 1104345107 | Shiv Ramlochan | Licensed Practical Nurse | 1 Family Drive, Kingston, NY 12401 | 2017-09-12 |
| 1346776333 | Sara Bockelmann | Licensed Practical Nurse | 616 Kiersted Ave, Kingston, NY 12401 | 2017-05-11 |
| 1093265472 | Janelle Haylett | Pathology | 121 Rondout Drive, Q, Kingston, NY 12401 | 2016-10-10 |
| 1669830873 | Julie Brady | Counselor | 154 Fair Street #2, Kingston, NY 12401 | 2016-02-02 |
| Find all providers in zip 12401 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013557552 | Millmark Health Inc. | Psychiatry & Neurology | 511 Pierce Street, Kingston, PA 18704 | 2020-01-13 |
| 1023545696 | Behavioral Medicine Associates of Northeastern Lennsylvania, LLC | Psychiatry & Neurology | 480 Pierce St Ste 303, Kingston, PA 18704-5512 | 2017-05-15 |
| 1861613812 | Mir Mazhar | Psychiatry & Neurology | Department of Psychiatry, Queen's University, C/o Providence Care, Room 1076, 752 King Street West, Kingston, ONTARIO K7L 4X3 | 2007-05-01 |
| 1952456428 | Alexander - Janums | Psychiatry & Neurology | 340 Aaron Ct, Kingston, NY 12401-2964 | 2007-01-24 |
| 1023178209 | George Joseph | Psychiatry & Neurology | 150 Aaron Court, Kingston, NY 12402 | 2006-12-11 |
| 1073680351 | Nancy Jean Goldin | Psychiatry & Neurology | 4446 Route 27, Kingston, NJ 08528 | 2006-11-29 |
| 1124199658 | Ron G. Goldman | Psychiatry & Neurology | Ulster County Mental Health Department, 239 Golden Hill Lane, Kingston, NY 12401 | 2006-11-13 |
| 1063597995 | Oren Kalus | Psychiatry & Neurology | 185 Fair St, Kingston, NY 12401-4501 | 2006-10-26 |
| 1285718684 | Ioni Dipti Sisodia | Psychiatry & Neurology | 200 Forest Hill Drive, Kingston, NY 12401 | 2006-10-24 |
| 1881799948 | Arthur - Sherman | Psychiatry & Neurology | 224 Fair St, Kingston, NY 12401-4561 | 2006-09-13 |
| Find all providers in KINGSTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.