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DR. JENNIFER M PARK MD
NPI 1063402147
Psychiatry & Neurology - Psychiatry in Concord, MA

Active since October 28, 2005Opted out of Medicare · through Jan 2, 2028
131 OLD ROAD TO 9 ACRE COR STE 620, CONCORD, MA 01742(703) 403-4204(571) 446-4015 Get Directions Write a Review

NPPES record last updated: September 26, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Jennifer M Park Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JENNIFER M PARK MD (NPI 1063402147) is an individual psychiatry provider in Concord, Massachusetts, licensed in Virginia (0101248210) and active in the NPI registry since October 2005. She has opted out of Medicare through January 2, 2028 and remains eligible to order and refer and maintains a secondary practice location in Mc Lean.

NPPES Registry Identity

NPI1063402147
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameDR. JENNIFER M PARKCredential: MD
Location Address131 OLD ROAD TO 9 ACRE COR STE 620Concord, MA 01742-4191
Mailing Address80 Rollingwood LnConcord, MA 01742-4302 · (703) 403-4204 · Fax (571) 446-4015
Phone(703) 403-4204
Fax(571) 446-4015
Sole ProprietorYes
Enumeration DateOctober 28, 2005
Last NPPES UpdateSeptember 26, 2023
NPPES CertifiedSeptember 26, 2023
✔ NPI 1063402147 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Licenses✔ Licensed in VA · 0101248210✔ Licensed in MA · 210049
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.
131 OLD ROAD TO 9 ACRE COR STE 620, Concord, MA 01742
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Secondary Practice Location 1

Location 11355 Beverly Rd, Suite 225Mc Lean, VA 22101-3651 · Phone (703) 403-4204 · Fax (571) 297-6277

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Jennifer M Park Md 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 January 2, 2016 through January 2, 2028.

Opt-Out Effective DateJanuary 2, 2016
Opt-Out In Effect ThroughJanuary 2, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01742 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$189.86 typical visit price
range $63.72 – $189.86
Typical copayment $47.46 (range $15.93 – $47.46)
Most-billed visit code 99205
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Jennifer Park's NPI number?

The NPI number for Jennifer Park is 1063402147. It was assigned to this individual provider in the NPPES registry on October 28, 2005.

Where is Jennifer Park located?

Jennifer Park practices at 131 Old Road To 9 Acre Cor Ste 620, Concord, MA 01742. The listed phone number is (703) 403-4204.

What is Jennifer Park's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Jennifer Park enrolled in Medicare?

No. Jennifer Park has opted out of Medicare through January 2, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Jennifer Park was last updated on September 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.