SOOHYUN PARK PHD
NPI 1841915592
Psychologist - Clinical in Boston, MA

Active since October 05, 2022PECOS EnrolledAccepts Medicare Assignment
800 WASHINGTON ST, BOSTON, MA 02111(617) 636-4852 Get Directions Write a Review

NPPES record last updated: February 5, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 5, 2024, Oct 5, 2022 (2 updates tracked since 2022).

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

NPI1841915592
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameSOOHYUN PARKCredential: PHD
Location Address800 WASHINGTON STBoston, MA 02111-1552
Mailing Address115 Mill Street, South Belknap Office 353Belmont, MA 02478
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateOctober 5, 2022
Last NPPES UpdateFebruary 5, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 5, 2024
NPI 1841915592 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in MA · PSY10000002
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
800 WASHINGTON ST, Boston, MA 02111

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID5991140154
PECOS Enrollment IDI20240227002620
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.

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, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220116
Location800 Washington StreetBoston, MA 02111 · Suffolk County
Emergency services Birthing friendly

Physician 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.

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
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
Most-billed visit code 99214
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.

Internal Medicine (Gastroenterology)
800 WASHINGTON ST, BOX 233
BOSTON, MA 02111
Technician/Technologist (Optician)
800 WASHINGTON ST, BOX 450
BOSTON, MA 02111
Plastic Surgery
800 WASHINGTON ST
BOSTON, MA 02111
Internal Medicine
800 WASHINGTON ST
BOSTON, MA 02111
Internal Medicine (Infectious Disease)
800 WASHINGTON ST
BOSTON, MA 02111
Student in an Organized Health Care Education/Training Program
800 WASHINGTON ST
BOSTON, MA 02111
Psychiatry & Neurology (Psychiatry)
800 WASHINGTON ST
BOSTON, MA 02111
Student in an Organized Health Care Education/Training Program
800 WASHINGTON ST
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.

What insurance does Soohyun Park accept?

Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care 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 with the weekly NPPES data releases published by CMS.