1. Home
  2. Directory
  3. Massachusetts
  4. Belmont
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

YEONSOO PARK
NPI 1912606732
Student in an Organized Health Care Education/Training Program in Belmont, MA

Active since March 01, 2023
115 MILL ST, BELMONT, MA 02478(617) 855-2000 Get Directions Write a Review

NPPES record last updated: March 1, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Yeonsoo Park NPPES

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

YEONSOO PARK (NPI 1912606732) is an individual student in an organized health care education/training program in Belmont, Massachusetts and active in the NPI registry since March 2023.

NPPES Registry Identity

NPI1912606732
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameYEONSOO PARK
Location Address115 MILL STBelmont, MA 02478-1064
Mailing Address313 W Catalpa DrMishawaka, IN 46545-3169 · (574) 335-9773
Phone(617) 855-2000
Sole ProprietorNo
Enumeration DateMarch 1, 2023
NPPES CertifiedMarch 1, 2023
✔ NPI 1912606732 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
115 MILL ST, Belmont, MA 02478
Open in Google Maps ↗

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.

KATY TARELLA LICSW
Social Worker (Clinical)
115 MILL ST, MAILSTOP 137
BELMONT, MA 02478
Middlesex County (617) 855-4178
EVAN D MURRAY MD
Psychiatry & Neurology (Neurology)
115 MILL ST, MCLEAN HOSPITAL
BELMONT, MA 02478
Middlesex County (617) 855-2354
MIQVEH STEINHART
Social Worker (Clinical)
115 MILL ST
BELMONT, MA 02478
Middlesex County (617) 855-3118
DANIELLE PACE PSYD
Psychologist (Clinical)
115 MILL ST
BELMONT, MA 02478
Middlesex County (617) 855-2000
DR. MARNI JOY CHANOFF MD
Psychiatry & Neurology (Psychiatry)
115 MILL ST
BELMONT, MA 02478
Middlesex County (617) 855-3937
DR. NANCY ANN HUXLEY PH.D.
Psychologist (Clinical)
115 MILL ST
BELMONT, MA 02478
Middlesex County (617) 855-3645
JOAN MARTHA COTTLER LICSW
Social Worker (Clinical)
115 MILL ST
BELMONT, MA 02478
Middlesex County (617) 855-3623
PROF. BRUCE MICHAEL COHEN M.D., PH.D.
Psychiatry & Neurology (Psychiatry)
115 MILL ST
BELMONT, MA 02478
Middlesex County (617) 855-3227

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 Yeonsoo Park's NPI number?

The NPI number for Yeonsoo Park is 1912606732. It was assigned to this individual provider in the NPPES registry on March 1, 2023.

Where is Yeonsoo Park located?

Yeonsoo Park practices at 115 Mill St, Belmont, MA 02478. The listed phone number is (617) 855-2000.

What is Yeonsoo Park's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Yeonsoo Park was last updated on March 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.