DR. PARK'S COMPREHENSIVE PAIN CLINI – NPI #1356580039
Psychiatry & Neurology

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.

Health Care Provider Taxonomy Code for Psychiatry & Neurology

DR. PARK'S COMPREHENSIVE PAIN CLINI is a psychiatry & neurologist located in FLUSHING, NY. NPPES has assigned the NPI number 1356580039 to DR. PARK'S COMPREHENSIVE PAIN CLINI on February 19, 2009. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “DR. PARK'S COMPREHENSIVE PAIN CLINI” is a dba name, the actual legal business name for this organization is BAYSIDE PAIN & REHABILITATION MEDICINE, P.C.. This provider is also associated with 2 additional names listed below. The primary taxonomy selected by this provider is 2084P0800X from the Health Care Provider Taxonomy code set, which is classified as Psychiatry & Neurology, specializing in Psychiatry

The NPI profile was previously updated about 17 years ago on Jun 02, 2009. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DR. PARK'S COMPREHENSIVE PAIN CLINI below.

NPI Profile for
BAYSIDE PAIN & REHABILITATION MEDICINE, P.C.

NPI Number
1356580039
Enumeration Date

(more than 17 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BAYSIDE PAIN & REHABILITATION MEDICINE, P.C.
Doing Business As (dba): DR. PARK'S COMPREHENSIVE PAIN CLINI
Other name(s)
All associated names:
Doing Business As (dba)
(DBA) Dr. Park's Comprehensive Pain Clinic
Doing Business As (dba)
DR. PARK'S COMPREHENSIVE PAIN CLINI
Primary location
142-29 37 AVE.
(BASEMENT)
FLUSHING, NY 11354
Phone: (718) 463-1133 Fax: (718) 463-6392
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
KI PARK
PRESIDENT
Phone: (718) 463-1133
Updated
Identifiers

Identifiers for DR. PARK'S COMPREHENSIVE PAIN CLINI

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHEROXFORDNYP-904065
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2084P0800X
- Psychiatry & Neurology / Psychiatry (Primary)		 NY 200978

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.