(DBA) DR. PARK'S COMPREHENSIVE PAIN CLINIC
NPI 1356580039
Psychiatry & Neurology - Psychiatry in Flushing, NY

NPI Status: Active since February 19, 2009

Contact Information

142-29 37 AVE.
(BASEMENT)
FLUSHING, NY
ZIP 11354
Phone: (718) 463-1133
Fax: (718) 463-6392

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  • Organization
  • Psychiatry & Neurology
  • Psychiatry

About (DBA) DR. PARK'S COMPREHENSIVE PAIN CLINIC

This page provides the complete NPI Profile along with additional information for (dba) Dr. Park's Comprehensive Pain Clinic, a provider established in Flushing, New York operating as a Psychiatry & Neurology, focusing in psychiatry . The healthcare provider is registered in the NPI registry with number 1356580039 assigned on February 2009. The practitioner's primary taxonomy code is 2084P0800X with license number 200978 (NY). The provider is registered as an organization and their NPI record was last updated 17 years ago. (dba) Dr. Park's Comprehensive Pain Clinic operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as (dba) Dr. Park's Comprehensive Pain Clinic. The authorized official of this NPI record is Ki Young Park M.d. (President)

NPI
1356580039
Provider Legal Name
BAYSIDE PAIN & REHABILITATION MEDICINE, P.C.
Other Organization Name
(DBA) DR. PARK'S COMPREHENSIVE PAIN CLINIC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
142-29 37 AVE. (BASEMENT) FLUSHING, NY 11354
Location Phone
(718) 463-1133
Location Fax
(718) 463-6392
Mailing Address
142-29 37 AVE. (BASEMENT) FLUSHING, NY 11354
Mailing Phone
(718) 463-1133
Mailing Fax
(718) 463-6392
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-19-2009
Last Update Date
06-02-2009
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A psychiatrist like (dba) Dr. Park's Comprehensive Pain Clinic are primary mental health physicians diagnose and treat mental illnesses through psychotherapy, psychoanalysis, hospitalization and medication. Psychiatrist help patients find solutions through changes in their behavioral patterns, explorations of experiences, group and family therapy.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychiatry & Neurology Psychiatry

Taxonomy Code
2084P0800X
Type
Allopathic & Osteopathic Physicians
License No.
200978
License State
NY
Taxonomy Description
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.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KI YOUNG PARK M.D.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(718) 463-1133

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
E-05577MEDICARE UPIN (02) 
P-904065OTHER (01)NYOXFORD

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1356580039, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 51. The final step is to find the difference between that total and the next multiple of ten (60 - 51 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
6
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
8
Unchanged
Pos 7
0
Doubled → 0
Pos 8
0
Unchanged
Pos 9
3
Doubled → 6
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 5 → 10 → 1 0 → 0 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 1 + 0 + 6 + 1 + 0 + 8 + 0 + 0 + 6 + 24 = 51

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 51 is 60. The difference is the calculated check digit.

60 - 51 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1356580039.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1356580039, enumerated as an "organization" on February 19, 2009.

The provider is located at 142-29 37 AVE. (BASEMENT) FLUSHING, NY 11354 and the phone number is (718) 463-1133.

Psychiatry & Neurology with taxonomy code 2084P0800X and a focus in Psychiatry.

The provider might be accepting Accepts: Medicare, Medicaid and Oxford Health Plans. Please consult your insurance carrier or call the provider to verify.