ALICE PARK MD
NPI 1891795076
Psychiatry & Neurology - Psychiatry in Stockton, CA

Active since July 28, 2005PECOS EnrolledAccepts Medicare Assignment
1305 TOMMYDON ST, STOCKTON, CA 95210(209) 476-5200 Get Directions Write a Review

NPPES record last updated: December 27, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Alice Park Md NPPES

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

ALICE PARK MD (NPI 1891795076) is an individual psychiatry provider in Stockton, California, licensed in Texas (L8157) and active in the NPI registry since July 2005. She is enrolled in Medicare PECOS and is a graduate of Other (1983).

NPPES Registry Identity

NPI1891795076
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameALICE PARKCredential: MD
Location Address1305 TOMMYDON STStockton, CA 95210-3364
Mailing Address3749 Whispering Creek CirStockton, CA 95219-2329 · (209) 952-5156
Sole ProprietorNo
Medical School CMSOtherGraduated 1983
Enumeration DateJuly 28, 2005
Last NPPES UpdateDecember 27, 2021
NPI 1891795076 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 TX · L8157
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.

1305 TOMMYDON ST, Stockton, CA 95210

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

Alice 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 ID749252427
PECOS Enrollment IDI20070419000745
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95210 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
$176.60 typical visit price
range $58.87 – $176.60
Typical copayment $44.15 (range $14.71 – $44.15)
Most-billed visit code 99205
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
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.

Social Worker (Clinical)
1305 TOMMYDON ST
STOCKTON, CA 95210
Psychologist (Clinical)
1305 TOMMYDON ST, KAISER PSYCHIATRY
STOCKTON, CA 95210
Social Worker (Clinical)
1305 TOMMYDON ST
STOCKTON, CA 95210
Counselor (Mental Health)
1305 TOMMYDON ST
STOCKTON, CA 95210
Psychologist (Clinical)
1305 TOMMYDON ST
STOCKTON, CA 95210
Social Worker (Clinical)
1305 TOMMYDON ST
STOCKTON, CA 95210
Social Worker (Clinical)
1305 TOMMYDON ST
STOCKTON, CA 95210
Psychologist (Clinical)
1305 TOMMYDON ST
STOCKTON, CA 95210

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 Alice Park's NPI number?

The NPI number for Alice Park is 1891795076. It was assigned to this individual provider in the NPPES registry on July 28, 2005.

Where is Alice Park located?

Alice Park practices at 1305 Tommydon St, Stockton, CA 95210. The listed phone number is (209) 476-5200.

What is Alice Park's specialty?

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

Is Alice Park enrolled in Medicare?

Yes. Alice 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.

When was this NPI record last updated?

The NPPES record for Alice Park was last updated on December 27, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.