DR. JISOO PARK (NPI# 1497133813) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1497133813 |
Entity Type | Individual |
Full Name | DR. JISOO PARK |
Credential | D.O |
Practice Address |
Stony Brook University Medical Ctr Department of Psychiatry Hsc T-10, Rm 020 Stony Brook NY 11794-8101 |
Mailing Address |
Putnam Hall Stony Brook NY 11794-0001 |
Practice Telephone | 6314443005 |
Practice Fax Number | 6314447534 |
Mailing Telephone | 6316329510 |
Enumeration Date | 2015-05-18 |
Last Update Date | 2019-10-17 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
297072 | NY | Allopathic & Osteopathic Physicians |
N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
Street Address |
STONY BROOK UNIVERSITY MEDICAL CTR DEPARTMENT OF PSYCHIATRY HSC T-10, RM 020 |
City | STONY BROOK |
State | NY |
Zip Code | 11794-8101 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508847302 | Margaret N Melendez | Nurse Practitioner | Stony Brook University Medical Ctr, Department of Medicine L16, Stony Brook, NY 11794-0001 | 2005-11-09 |
1447705736 | Xiaoyun Wen | Student in an Organized Health Care Education/Training Program | Stony Brook University Medical Ctr, Department of Pathology, Level 2, Stony Brook, NY 11794-7025 | 2016-08-17 |
1619325545 | Dhruti Patel | Student in an Organized Health Care Education/Training Program | Stony Brook University Medical Ctr, Hsc T-10, Room 020, Stony Brook, NY 11794-0001 | 2016-06-01 |
1699120147 | Jill Marie-faye Ludin | Student in an Organized Health Care Education/Training Program | Stony Brook University Medical Ctr, Hsc T-10, Room 020, Stony Brook, NY 11794-8101 | 2016-05-03 |
1740644475 | Laura Andreski | Student in an Organized Health Care Education/Training Program | Stony Brook University Medical Ctr, Hsc T-10, Room 020, Stony Brook, NY 11794-0001 | 2016-04-08 |
1093178170 | Michael Robert Bisogno | Student in an Organized Health Care Education/Training Program | Stony Brook University Medical Ctr, Department of Orthopaedics, Hsc T-18, Stony Brook, NY 11794-8181 | 2016-04-05 |
1558723924 | Ben Joseph | Student in an Organized Health Care Education/Training Program | Stony Brook University Medical Ctr, Department of Orthopedics, Hsc T-18, Stony Brook, NY 11794-8181 | 2016-03-24 |
1821477704 | Katherine Pan | Student in an Organized Health Care Education/Training Program | Stony Brook University Medical Ctr, Hsc T-10, Room 020, Stony Brook, NY 11794-8101 | 2015-05-25 |
1992184303 | Sean Alyeshmerni | Student in an Organized Health Care Education/Training Program | Stony Brook University Medical Ctr, Hsc T-10 Room 020, Stony Brook, NY 11794-8101 | 2015-05-19 |
1972998631 | Hariharan Venkatachalam Iyer | Student in an Organized Health Care Education/Training Program | Stony Brook University Medical Ctr, Hsc T-18, Stony Brook, NY 11794-8181 | 2015-03-31 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619506714 | Ryan John Kottmeier | Physician Assistant | 101 Nicolls Road Suny Stony Brook Hospital, Dept of Orthopedics Hsc T18, Room 080, Stony Brook, NY 11794 | 2020-04-02 |
1699302109 | Michael Trentalange | Student in an Organized Health Care Education/Training Program | Department of Surgery, Health Sciences Center Level 19, Room 030, Stony Brook, NY 11794 | 2020-03-25 |
1164985156 | Lauren Kate Harris | Student in an Organized Health Care Education/Training Program | Stony Brook Medicine, Department of Ob/gyn, Hsc T9, 101 Nicolls Road, Stony Brook, NY 11794 | 2019-04-08 |
1851851448 | Kathy Tin | Student in an Organized Health Care Education/Training Program | Dept of Medicine Hsc 16 Suny Stony Brook Hospital, Stony Brook, NY 11794 | 2019-03-21 |
1174083703 | Arham Khan | Student in an Organized Health Care Education/Training Program | Dept of Medicine Hsc Level 16, Suny Stony Brook Hosp, Stony Brook, NY 11794 | 2019-03-20 |
1396221982 | Aman Bhojani | Student in an Organized Health Care Education/Training Program | Suny At Stony Brook Dental School, South Drive, Stony Brook, NY 11794 | 2018-07-17 |
1699265629 | Belliny Phaeton | Student in an Organized Health Care Education/Training Program | Stony Brook Children's Hospital, Hsc T-11, Room 040, Stony Brook, NY 11794 | 2018-05-15 |
1629568969 | Rachel Herold | Student in an Organized Health Care Education/Training Program | Stony Brook Children's Department of Pediatrics, Hsc T-11, Room 040, Stony Brook, NY 11794 | 2018-05-11 |
1598254419 | Nora Ann Diraimondo | Nurse Practitioner | Sb Hospital 101 Nicolls Road, Department of Medicine, Stony Brook, NY 11794 | 2018-05-07 |
1386140705 | Ryan Christopher Corn | Student in an Organized Health Care Education/Training Program | Dept. of Internal Medicine, Hsc Level 16-020, Suny Stony Brook, Stony Brook, NY 11794 | 2018-04-04 |
Find all providers in zip 11794 |
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 |
---|---|---|---|---|
1649746272 | Yashar Yousefzadehfard | Psychiatry & Neurology | 101 Nicolls Rd Rm 10-041l, Stony Brook, NY 11794-0001 | 2018-10-22 |
1972922185 | Courtney Liebling | Psychiatry & Neurology | Department of Psychiatry Stony, Hsc T-10 Room 020, Stony Brook, NY 11794 | 2014-04-15 |
1912267501 | Fiana Klein | Psychiatry & Neurology | Department of Psychiatry & Behavioral Science, Stony Brook University Medical Center Hsc T-10 Room 020, Stony Brook, NY 11794 | 2012-05-17 |
1932467966 | Michelle Monique Curro | Psychiatry & Neurology | Hsc, T-10, Room 020, Stony Brook University Medical Center, Stony Brook, NY 11794-8101 | 2012-04-27 |
1699092841 | Lauren Marie Spring | Psychiatry & Neurology | Stony Brook Child and Adolescent Psychiatry, 169 Putnam Hall, Stony Brook, NY 11794-8790 | 2010-04-28 |
1629247630 | Lavinia Alina Bizeta | Psychiatry & Neurology | State University of New York At Stony Brook, Hsc T-10, Room 020, Stony Brook, NY 11794-8101 | 2008-02-23 |
1013124890 | Miles E Driscoll | Psychiatry & Neurology | Stony Brook Hospital Dept of Psychiatry, 101 Nicolls Road, Stony Brook, NY 11794-0001 | 2007-05-17 |
1467503490 | Ramin Parsey | Psychiatry & Neurology | Hsc 010, Room 020, Stony Brook, NY 11794-8101 | 2007-01-16 |
1770632150 | Amy Gardner | Psychiatry & Neurology | Department of Psychiatry Suny Medical Ctr, Hsc, T10-020, Stony Brook, NY 11794-8101 | 2007-01-09 |
1861573289 | Mark Lerman | Psychiatry & Neurology | Putnam Hall South Campus, Stony Brook, NY 11794-0001 | 2006-10-19 |
Find all providers in STONY BROOK |
City | STONY BROOK |
Zip Code | 11794 |
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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.