DR. STEPHANIE GRACE PARK PH.D.
NPI 1225490105
Psychologist - Clinical in Rockville, MD
About Dr. Stephanie Grace Park Ph.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. STEPHANIE GRACE PARK PH.D. (NPI 1225490105) is an individual clinical provider in Rockville, Maryland, licensed in Maryland (05433) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2014).
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
Enrolled in Medicare and accepts Medicare assignment
Dr. Stephanie Grace Park Ph.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.
Areas of Expertise CMS Part B claims 2
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 20854 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
ROCKVILLE, MD 20854
ROCKVILLE, MD 20854
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 Stephanie Park's NPI number?
The NPI number for Stephanie Park is 1225490105. It was assigned to this individual provider in the NPPES registry on March 22, 2016.
Where is Stephanie Park located?
Stephanie Park practices at 1201 Seven Locks Rd Suite 111, Rockville, MD 20854. The listed phone number is (301) 762-5020.
What is Stephanie Park's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Stephanie Park enrolled in Medicare?
Yes. Stephanie Park is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
When was this NPI record last updated?
The NPPES record for Stephanie Park was last updated on March 22, 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.
# Dr. Stephanie Grace Park, PH.D. · NPI 1225490105
Clinical provider in Rockville, Maryland. Individual provider, active in the CMS NPPES registry since March 22, 2016.
## Identity
- **NPI:** 1225490105 (Entity type: Individual)
- **Enumerated:** March 22, 2016
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **State license:** 05433 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 1201 SEVEN LOCKS RD, SUITE 111, Rockville, MD 20854-2931
- **Phone:** (301) 762-5020
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** March 22, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1225490105) · Data from the CMS NPPES public registry.