MI N PARK
NPI 1013140268
Psychologist in San Mateo, CA
About Mi N Park NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MI N PARK (NPI 1013140268) is an individual psychologist in San Mateo, California, licensed in California (PSY27071) and active in the NPI registry since September 2009. She has opted out of Medicare through May 18, 2028.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Mi N Park has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 18, 2026 through May 18, 2028.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Mi Park's NPI number?
The NPI number for Mi Park is 1013140268. It was assigned to this individual provider in the NPPES registry on September 3, 2009.
Where is Mi Park located?
Mi Park practices at 1777 Borel Pl Ste 210, San Mateo, CA 94402. The listed phone number is (415) 320-1864.
What is Mi Park's specialty?
The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.
Is Mi Park enrolled in Medicare?
No. Mi Park has opted out of Medicare through May 18, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
When was this NPI record last updated?
The NPPES record for Mi Park was last updated on October 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.