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DR. THOMAS PARK M.D.
NPI 1174843163
Psychiatry & Neurology - Addiction Psychiatry in Ann Arbor, MI

Active since June 02, 2010
2215 FULLER RD, ANN ARBOR, MI 48105(734) 222-7452 Get Directions Write a Review

NPPES record last updated: March 8, 2016. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Dr. Thomas Park M.d. NPPES

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

DR. THOMAS PARK M.D. (NPI 1174843163) is an individual addiction psychiatry provider in Ann Arbor, Michigan, licensed in Michigan (4301102290) and active in the NPI registry since June 2010.

NPPES Registry Identity

NPI1174843163
Entity TypeIndividualMale
Primary Taxonomy2084P0802X
Provider Legal NameDR. THOMAS PARKCredential: M.D.
Location Address2215 FULLER RDAnn Arbor, MI 48105-2303
Mailing Address2215 Fuller RdAnn Arbor, MI 48105-2303 · (734) 222-7452
Phone(734) 222-7452
Sole ProprietorNo
Enumeration DateJune 2, 2010
Last NPPES UpdateMarch 8, 2016
✔ NPI 1174843163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Addiction PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0802X
License✔ Licensed in MI · 4301102290
Definition
Addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders.
2215 FULLER RD, Ann Arbor, MI 48105
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Other Providers at the Same Location NPPES 20

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

MS. CONSTANCE LAROSA RN
Registered Nurse
2215 FULLER RD
ANN ARBOR, MI 48105
Washtenaw County (734) 769-7100
THOMAS F CURRAN
Anesthesiology
2215 FULLER RD
ANN ARBOR, MI 48105
Washtenaw County (734) 845-5342
MRS. NICHELLE BOWMAN RN
Registered Nurse
2215 FULLER RD, RADIATION ONCOLOGY 114B
ANN ARBOR, MI 48105
Washtenaw County (734) 845-3914
MRS. CAREY ANN MICHEL RN
Registered Nurse
2215 FULLER RD
ANN ARBOR, MI 48105
Washtenaw County (734) 222-4230
JACQUELYN VANZILE LPCC
Counselor (Mental Health)
2215 FULLER RD
ANN ARBOR, MI 48105
Washtenaw County (734) 769-7100
CARRIE JO HERNANDEZ RN
Registered Nurse
2215 FULLER RD
ANN ARBOR, MI 48105
Washtenaw County (734) 845-5598
ERIC PATTERSON PTA
Physical Therapy Assistant
2215 FULLER RD
ANN ARBOR, MI 48105
Washtenaw County (734) 845-3829
MS. AMIE RICHARDSON
Physical Therapy Assistant
2215 FULLER RD
ANN ARBOR, MI 48105
Washtenaw County (734) 769-7100

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 Thomas Park's NPI number?

The NPI number for Thomas Park is 1174843163. It was assigned to this individual provider in the NPPES registry on June 2, 2010.

Where is Thomas Park located?

Thomas Park practices at 2215 Fuller Rd, Ann Arbor, MI 48105. The listed phone number is (734) 222-7452.

What is Thomas Park's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Addiction Psychiatry, with taxonomy code 2084P0802X.

When was this NPI record last updated?

The NPPES record for Thomas Park was last updated on March 8, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.