TAEHYUN PARK PMHNP
NPI 1235798844
Nurse Practitioner - Psychiatric/Mental Health in Sunnyside, NY
About Taehyun Park Pmhnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TAEHYUN PARK PMHNP (NPI 1235798844) is an individual psychiatric/mental health provider in Sunnyside, New York, licensed in New York (F402603) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Taehyun Park Pmhnp 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.
Medicare Billing Reassignments
2Medicare enrollment records show Taehyun Park reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Flushing, NY 11358
- Reassigned Medicare billing, New York enrollment
Brooklyn, NY 11214
- Reassigned Medicare billing, New York enrollment
- 26 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
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 11104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Taehyun Park's NPI number?
The NPI number for Taehyun Park is 1235798844. It was assigned to this individual provider in the NPPES registry on June 7, 2019.
Where is Taehyun Park located?
Taehyun Park practices at 4115 45th St Apt 3J, Sunnyside, NY 11104. The listed phone number is (917) 714-8916.
What is Taehyun Park's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Taehyun Park enrolled in Medicare?
Yes. Taehyun 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.
Which organizations bill Medicare for Taehyun Park's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Taehyun Park reassigns Medicare benefits to 2 organizations: Korean Community Services Of Metropolitan New York, Inc. (Flushing, NY) and Modern Psychiatric Nurse Practitioner PC (Brooklyn, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Taehyun Park's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Taehyun Park was last updated on June 7, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Taehyun Park, PMHNP · NPI 1235798844
Psychiatric/Mental Health physician in Sunnyside, New York. Individual provider, active in the CMS NPPES registry since June 7, 2019.
## Identity
- **NPI:** 1235798844 (Entity type: Individual)
- **Enumerated:** June 7, 2019
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** F402603 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 4115 45TH ST APT 3J, Sunnyside, NY 11104-1922
- **Phone:** (917) 714-8916
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Korean Community Services Of Metropolitan New York, Inc. (NPI 1942687868, Flushing, NY); Modern Psychiatric Nurse Practitioner PC (NPI 1518415983, Brooklyn, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** June 7, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1235798844) · Data from the CMS NPPES public registry.