MICAH J PARK MD
NPI 1659994473
Psychiatry & Neurology - Psychiatry in Lansdowne, VA

Q: What is Micah Park's NPI number?

The NPI number for Micah Park is 1659994473. It was assigned to this individual provider in the NPPES registry on May 27, 2020.

Q: What is Micah Park's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Micah Park was last updated on April 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.

Active since May 27, 2020PECOS EnrolledAccepts Medicare Assignment

19420 GOLF VISTA PLZ STE 250, LANSDOWNE, VA 20176(804) 207-6737(703) 665-7686 Get Directions Write a Review

NPPES record last updated: April 29, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 29, 2026, Jul 8, 2025, May 27, 2020 (3 updates tracked since 2020).

On this page

About Micah J Park Md NPPES

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

MICAH J PARK MD (NPI 1659994473) is an individual psychiatry provider in Lansdowne, Virginia, licensed in Virginia (0101281727) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Washington, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1659994473

Entity TypeIndividualFemale

Primary Taxonomy2084P0800X

Provider Legal NameMICAH J PARKCredential: MD

Location Address19420 GOLF VISTA PLZ STE 250Lansdowne, VA 20176-8267

Mailing Address4800 N Scottsdale Rd Ste 2500Scottsdale, AZ 85251-7630 · (804) 207-6737 · Fax (703) 665-7686

Phone(804) 207-6737

Fax(703) 665-7686

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateMay 27, 2020

Last NPPES UpdateApril 29, 20263 updates tracked since enumeration

NPPES CertifiedApril 29, 2026

✔ NPI 1659994473 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in VA · 0101281727

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

19420 GOLF VISTA PLZ STE 250, Lansdowne, VA 20176

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Secondary Practice Location 1

Location 11100 Alabama Ave SEWashington, DC 20032-4542 · Phone (202) 299-5334

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

Micah J Park Md 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.

PECOS PAC ID547684045

PECOS Enrollment IDI20260611003338

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Micah Park reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Commonwealth Counseling Associates Inc

98 mi

Clinical

9202 CENTER OAK CT
Mechanicsville, VA 23116

Reassigned Medicare billing, Virginia enrollment
239 clinicians in this Medicare group

NPI 1851345805 (804) 207-6737

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20176 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

$170.30 typical visit price

range $56.19 – $170.30

Typical copayment $42.57 (range $14.04 – $42.57)

Most-billed visit code 99205

Established Patient

$70.08 typical visit price

range $18.07 – $138.91

Typical copayment $17.52 (range $4.51 – $34.72)

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 10

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

ROCHELLE TAKIYAH SINGLETON LPC-R

Counselor (Mental Health)

19420 GOLF VISTA PLZ STE 250
LANSDOWNE, VA 20176

Loudoun County (571) 349-0273

NICOLE LOREN LEFMAN

Counselor (Mental Health)

19420 GOLF VISTA PLZ STE 250
LANSDOWNE, VA 20176

Loudoun County (804) 207-6737

DR. CAROL SUSAN LANG PMHNP

Nurse Practitioner (Psychiatric/Mental Health)

19420 GOLF VISTA PLZ STE 250
LANSDOWNE, VA 20176

Loudoun County (804) 207-6737

SUNG HUI HWANG LMFT

Marriage & Family Therapist

19420 GOLF VISTA PLZ STE 250
LANSDOWNE, VA 20176

Loudoun County (571) 349-0273

HOLLY A HARGREAVES-CORMANY LPC

Counselor (Professional)

19420 GOLF VISTA PLZ STE 250
LEESBURG, VA 20176

Loudoun County (703) 665-7206

MRS. ALLYSON P LUNA LPC

Counselor (Professional)

19420 GOLF VISTA PLZ STE 250
LEESBURG, VA 20176

Loudoun County (703) 621-7121

MICHELLE LYNN CAPOZZI LCSW

Social Worker (Clinical)

19420 GOLF VISTA PLZ STE 250
LEESBURG, VA 20176

Loudoun County (703) 621-7121

DEEBA KHUMAR-CHADHA LPC

Counselor (Professional)

19420 GOLF VISTA PLZ STE 250
LANSDOWNE, VA 20176

Loudoun County (804) 207-6737

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 Micah Park's NPI number?

The NPI number for Micah Park is 1659994473. It was assigned to this individual provider in the NPPES registry on May 27, 2020.

Where is Micah Park located?

Micah Park practices at 19420 Golf Vista Plz Ste 250, Lansdowne, VA 20176. The listed phone number is (804) 207-6737.

What is Micah Park's specialty?

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

Is Micah Park enrolled in Medicare?

Yes. Micah 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 organization bills Medicare for Micah Park's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Micah Park reassigns Medicare benefits to Commonwealth Counseling Associates Inc (Mechanicsville, VA). The 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 Micah 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 Micah Park was last updated on April 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.