SOOHYUN PARK PHD
NPI 1841915592
Psychologist - Clinical in Boston, MA
About Soohyun Park Phd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOOHYUN PARK PHD (NPI 1841915592) is an individual clinical provider in Boston, Massachusetts, licensed in Massachusetts (PSY10000002) and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS, is affiliated with Tufts Medical Center, and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
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
Soohyun Park Phd 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 Soohyun Park reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Boston, MA 02111
- Reassigned Medicare billing, Massachusetts enrollment
- 74 clinicians in this Medicare group
Boston, MA 02111
- Reassigned Medicare billing, Massachusetts enrollment
- 90 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Tufts Medical Center
Acute Care Hospitals · Boston, MAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 02111 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.
BOSTON, MA 02111
BOSTON, MA 02111
BOSTON, MA 02111
BOSTON, MA 02111
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 Soohyun Park's NPI number?
The NPI number for Soohyun Park is 1841915592. It was assigned to this individual provider in the NPPES registry on October 5, 2022.
Where is Soohyun Park located?
Soohyun Park practices at 800 Washington St, Boston, MA 02111. The listed phone number is (617) 636-4852.
What is Soohyun Park's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Soohyun Park enrolled in Medicare?
Yes. Soohyun 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 Soohyun Park's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Soohyun Park reassigns Medicare benefits to 2 organizations: Tufts Medical Center, Inc. (Boston, MA) and Pratt Psychiatric Associates, Inc (Boston, MA). 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 Soohyun Park's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Soohyun Park accept?
Health plans from Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care and Taro Health list Soohyun 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.
Is Soohyun Park affiliated with any hospitals?
According to CMS data, Soohyun Park is affiliated with Tufts Medical Center.
When was this NPI record last updated?
The NPPES record for Soohyun Park was last updated on February 5, 2024. 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.
# Soohyun Park, PHD · NPI 1841915592
Clinical provider in Boston, Massachusetts. Individual provider, active in the CMS NPPES registry since October 5, 2022.
## Identity
- **NPI:** 1841915592 (Entity type: Individual)
- **Enumerated:** October 5, 2022
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **State license:** PSY10000002 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 800 WASHINGTON ST, Boston, MA 02111-1552
- **Phone:** (617) 636-4852
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Tufts Medical Center, Inc. (NPI 1730132515, Boston, MA); Pratt Psychiatric Associates, Inc (NPI 1245270875, Boston, MA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** February 5, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1841915592) · Data from the CMS NPPES public registry.