DR. LAWRENCE PARK MD
NPI 1396727350
Psychiatry & Neurology - Psychiatry in Boston, MA

Active since November 16, 2005Opted out of Medicare · through Apr 1, 2028

NPPES record last updated: September 19, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Lawrence Park Md NPPES

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

DR. LAWRENCE PARK MD (NPI 1396727350) is an individual psychiatry provider in Boston, Massachusetts, licensed in Massachusetts (155555) and active in the NPI registry since November 2005. He has opted out of Medicare through April 1, 2028 and remains eligible to order and refer and maintains a secondary practice location in Mc Lean.

NPPES Registry Identity

NPI1396727350
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. LAWRENCE PARKCredential: MD
Location Address55 FRUIT STBoston, MA 02114-2696
Mailing Address50 Fruit StBoston, MA 02114-2620 · (202) 560-1888
Sole ProprietorYes
Enumeration DateNovember 16, 2005
Last NPPES UpdateSeptember 19, 2023
NPPES CertifiedSeptember 19, 2023
NPI 1396727350 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License Licensed in MA · 155555
Definition
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.
55 FRUIT ST, Boston, MA 02114

Secondary Practice Location 1

Location 11355 Beverly Rd Ste 225Mc Lean, VA 22101-3654 · Phone (202) 560-1888

Other Identifiers 3

OtherJ19565MA · Bcbs Ma
Medicaid3206611MA
Other406931MA · Tufts Health Plan

Accepted Insurance

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. Lawrence Park Md 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, 2018 through April 1, 2028.

Opt-Out Effective DateApril 1, 2018
Opt-Out In Effect ThroughApril 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02114 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$189.86 typical visit price
range $63.72 – $189.86
Typical copayment $47.46 (range $15.93 – $47.46)
Most-billed visit code 99205
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Pathology (Anatomic Pathology)
55 FRUIT ST
BOSTON, MA 02114
Internal Medicine (Hematology & Oncology)
55 FRUIT ST
BOSTON, MA 02114
Anesthesiology
55 FRUIT ST, GRAY-BIGELOW 444
BOSTON, MA 02114
Physical Medicine & Rehabilitation
55 FRUIT ST
BOSTON, MA 02114
Internal Medicine (Infectious Disease)
55 FRUIT ST, DIVISION OF INFECTIOUS DISEASE, GRJ-504
BOSTON, MA 02114
Nurse Practitioner (Acute Care)
55 FRUIT ST, BIGALOW 852 F
BOSTON, MA 02114
Nurse Practitioner
55 FRUIT ST
BOSTON, MA 02114
Internal Medicine (Cardiovascular Disease)
55 FRUIT ST
BOSTON, MA 02114

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 Lawrence Park's NPI number?

The NPI number for Lawrence Park is 1396727350. It was assigned to this individual provider in the NPPES registry on November 16, 2005.

Where is Lawrence Park located?

Lawrence Park practices at 55 Fruit St, Boston, MA 02114. The listed phone number is (202) 560-1888.

What is Lawrence Park's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Lawrence Park enrolled in Medicare?

No. Lawrence 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. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Lawrence Park accept?

Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Lawrence Park as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lawrence Park was last updated on September 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.