DR. JISOO PARK


Address: Stony Brook University Medical Ctr, Department of Psychiatry Hsc T-10, Rm 020, Stony Brook, NY 11794-8101
Phone: 6314443005

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).

Provider Overview

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

Taxonomy

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

Office Location

Street Address STONY BROOK UNIVERSITY MEDICAL CTR
DEPARTMENT OF PSYCHIATRY HSC T-10, RM 020
City STONY BROOK
State NY
Zip Code 11794-8101

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 2084P0800X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Psychiatry

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Competitor

Search similar providers

City STONY BROOK
Zip Code 11794

Improve Information

Please comment or provide details below to improve the information on DR. JISOO PARK.

Dataset Information

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.

Trending Searches