DR. SOYON PARK PH.D.
NPI 1154562288
Psychologist in Belmont, CA
About Dr. Soyon Park Ph.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SOYON PARK PH.D. (NPI 1154562288) is an individual psychologist in Belmont, California and active in the NPI registry since March 2009. She has opted out of Medicare through April 1, 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
Dr. Soyon Park Ph.d. 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 April 1, 2026 through April 1, 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 Soyon Park's NPI number?
The NPI number for Soyon Park is 1154562288. It was assigned to this individual provider in the NPPES registry on March 19, 2009.
Where is Soyon Park located?
Soyon Park practices at 3852 W Naughton Ave, Belmont, CA 94002. The listed phone number is (650) 520-0846.
What is Soyon Park's specialty?
The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.
Is Soyon Park enrolled in Medicare?
No. Soyon Park has opted out of Medicare through April 1, 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 Soyon Park was last updated on June 21, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.