DR. JENNIFER M PARK (MD) – Psychiatry Physician, NPI 1063402147

DR. JENNIFER M PARK (MD) is a healthcare provider. based in Mc lean, Virginia. specializing in Psychiatry Physician. They hold the professional credentials MD. They hold a License No. 210049 (MA). The NPI Number for DR. JENNIFER M PARK (MD) is 1063402147

Main info

Female
Sole Proprietor
Name
DR. JENNIFER M PARK (MD)
NPI
1063402147
Phone
(703) 403-4204
Address
1355 BEVERLY RD
Enumeration Date
28 October 2005
Last Update Date
26 September 2023
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:20State licenses:2Digital endpointsOther names

Provider Addresses for DR. JENNIFER M PARK (MD)

  • 1355 BEVERLY RD

    SUITE 225

    MC LEAN, VA 221013651

    Phone: (703) 403-4204

    Fax: (571) 297-6277

    Type: Mailing

  • 80 ROLLINGWOOD LN

    CONCORD, MA 017424302

    Phone: (703) 403-4204

    Fax: (571) 446-4015

    Type: Mailing

  • 131 OLD ROAD TO 9 ACRE COR STE 620

    CONCORD, MA 017424191

    Phone: (703) 403-4204

    Fax: (571) 446-4015

    Type: Location

  • 1355 Beverly Rd

    Suite 225

    Mc Lean, VA 221013651

    Phone: (703) 403-4204

    Fax: (571) 297-6277

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $27.

Total Amount is formed as General ($27) + Research ($0) + Ownership ($0) = $27.

Last reported payment date: 2023-11-08 • Largest payer in this snapshot: Sun Pharmaceutical Industries Inc. ($27).

Total Amount

$27

General + Research + Ownership

Payments

1

Total payment records

General Amount

$27

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-11-08

Latest reported date

Top Companies

Largest payers in this snapshot

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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 22101)

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Reviews

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Frequently asked questions

What number should I use to identify DR. JENNIFER M PARK (MD) for billing?
Administrative and clinical systems typically use NPI 1063402147 for DR. JENNIFER M PARK (MD).
Does the public listing show DR. JENNIFER M PARK (MD) as active?
DR. JENNIFER M PARK (MD)'s NPI record reflects an active status in NPPES.
What type of care does DR. JENNIFER M PARK (MD) provide?
DR. JENNIFER M PARK (MD)'s profile centers on Psychiatry Physician. Clinical services aligned with this taxonomy classification.
Can patients visit DR. JENNIFER M PARK (MD) in Mc Lean, Virginia?
For routing, start with Mc Lean, Virginia for DR. JENNIFER M PARK (MD), then verify phone and hours locally.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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