DR. NAOMI PARK (MD) – Psychiatry Physician, NPI 1710293675
Psychiatry Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
563 PSYCHIATRY in AZ
Provider Addresses for DR. NAOMI PARK (MD)
3300 N TRIUMPH BLVD STE 500
LEHI, UT 840436475
Phone: (801) 821-2781
Type: Mailing
2046 W Riverview Auto Dr Ste 401
Mesa, AZ 852017597
Phone: (480) 626-7584
Type: Location
36457 N Gantzel Rd Ste 102
San Tan Valley, AZ 851407343
Phone: (480) 626-7584
Fax: (480) 210-0230
Type: Location
1860 N 95th Ln Ste 300
Phoenix, AZ 850375074
Phone: (480) 626-7584
Fax: (480) 210-0230
Type: Location
4545 E Chandler Blvd Ste 308
Phoenix, AZ 850487646
Phone: (480) 626-7584
Fax: (480) 210-0230
Type: Location
UNIVERSITY OF FLORIDA DEPT OF PSYCHIATRY
P.O. BOX 100256
GAINESVILLE, FL 326100001
Phone: (352) 294-4945
Type: Mailing
2355 E CAMELBACK RD STE 625
PHOENIX, AZ 850163458
Phone:
Type: Mailing
1501 N Gilbert Rd Ste 206
Gilbert, AZ 852342394
Phone: (480) 626-7584
Fax: (480) 210-0230
Type: Location
20950 N Tatum Blvd Ste 380
Phoenix, AZ 850504258
Phone: (480) 626-7584
Fax: (480) 210-0230
Type: Location
5425 E BROADWAY BLVD # 243
TUCSON, AZ 857113704
Phone:
Type: Mailing
4411 E KINGS CANYON RD
FRESNO, CA 937023604
Phone: (559) 246-5023
Fax: (559) 512-8705
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2015-02-19
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20150219000972 | I | Psychiatry | AZ | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 84043)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | UT | |
| P S Y C H I A T R Y | AZ | |
| Nurse Practitioner | AZ | |
| Geriatric Psychiatry, Psychiatry | IN | |
| P S Y C H I A T R Y | CO | |
| Nurse Practitioner | GA | |
| P S Y C H I A T R Y | FL | |
| P S Y C H I A T R Y | AZ | |
| P S Y C H I A T R Y | TX | |
| P S Y C H I A T R Y | AZ |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.