Dr Jeoung P Park, PSYCHOLOGIST - Medicare Psychologist in Fresno, CA

Dr Jeoung P Park, PSYCHOLOGIST is a medicare enrolled "Psychologist - Clinical" provider in Fresno, California. He graduated from medical school in 2013 and has 11 years of diverse experience with area of expertise as Clinical Psychologist. His current practice location is 1357 W Shaw Ave, Ste 104, Fresno, California. You can reach out to his office (for appointments etc.) via phone at (559) 970-4812.

Dr Jeoung P Park is licensed to practice in California (license number PSY29775) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1578723805.

Contact Information

Dr Jeoung P Park, PSYCHOLOGIST
1357 W Shaw Ave, Ste 104,
Fresno, CA 93711-3619
(559) 970-4812
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Jeoung P Park
GenderMale
SpecialityClinical Psychologist
Experience11 Years
Location1357 W Shaw Ave, Fresno, California
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Jeoung P Park graduated from medical school in 2013
  NPI Data:
  • NPI Number: 1578723805
  • Provider Enumeration Date: 06/10/2008
  • Last Update Date: 09/10/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 4880930726
  • Enrollment ID: I20190114001337

Medical Identifiers

Medical identifiers for Dr Jeoung P Park such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1578723805NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical PSY29775 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jeoung P Park is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Jeoung P Park, PSYCHOLOGIST
4460 W Shaw Ave # 555,
Fresno, CA 93722-6210

Ph: (559) 492-6689
Dr Jeoung P Park, PSYCHOLOGIST
1357 W Shaw Ave, Ste 104,
Fresno, CA 93711-3619

Ph: (559) 970-4812

Reviews and Comments


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