BRIAN PARK M.D.
NPI 1104935998
Psychiatry & Neurology - Psychiatry in Kingston, NY

Q: What is Brian Park's NPI number?

The NPI number for Brian Park is 1104935998. It was assigned to this individual provider in the NPPES registry on August 29, 2006.

Q: What is Brian Park's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Brian Park was last updated on August 6, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since August 29, 2006PECOS EnrolledAccepts Medicare Assignment

465 BROADWAY, KINGSTON, NY 12401(845) 340-0244(845) 340-0141 Get Directions Write a Review

NPPES record last updated: August 6, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Brian Park M.d. NPPES

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

BRIAN PARK M.D. (NPI 1104935998) is an individual psychiatry provider in Kingston, New York, licensed in New York (202639-1) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Albany Medical College Of Union University (1996).

NPPES Registry Identity

NPI1104935998

Entity TypeIndividualMale

Primary Taxonomy2084P0800X

Provider Legal NameBRIAN PARKCredential: M.D.

Location Address465 BROADWAYKingston, NY 12401-4627

Mailing Address465 BroadwayKingston, NY 12401-4627 · (845) 340-0244 · Fax (845) 340-0141

Phone(845) 340-0244

Fax(845) 340-0141

Sole ProprietorNo

Medical School CMSAlbany Medical College Of Union UniversityGraduated 1996

Enumeration DateAugust 29, 2006

Last NPPES UpdateAugust 6, 2008

✔ NPI 1104935998 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in NY · 202639-1

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.

465 BROADWAY, Kingston, NY 12401

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Other Identifiers 2

Medicare PIN69M24NY

Medicare UPING89986NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Brian Park M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID840279782

PECOS Enrollment IDI20040715000373

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

154 services31 patients

Psychotherapy with evaluation and management visit, 45 minutes 90836

Psychotherapy with evaluation and management is a 45-minute session where a healthcare provider discusses your mental and emotional health. They assess your current state, manage any issues, and help you develop coping strategies. This service aims to improve your overall well-being.

105 services23 patients

Psychiatric diagnostic evaluation with medical services 90792

A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.

15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12401 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

$187.05 typical visit price

range $61.88 – $187.05

Typical copayment $46.76 (range $15.47 – $46.76)

Most-billed visit code 99205

Established Patient

$76.88 typical visit price

range $19.92 – $151.94

Typical copayment $19.22 (range $4.98 – $37.98)

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.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARY ALICE SCULLY LCSW-R

Social Worker (Clinical)