Healthcare Provider Details

I. General information

NPI: 1043129836
Provider Name (Legal Business Name): DR H PARK PSYCHOLOGICAL SERVICES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/05/2026
Last Update Date: 09/05/2026
Certification Date: 09/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

341 E 79TH ST
NEW YORK NY
10075-0992
US

IV. Provider business mailing address

1680 PELHAM PKWY S APT 514
BRONX NY
10461-1135
US

V. Phone/Fax

Practice location:
  • Phone: 917-727-5223
  • Fax: 917-591-2866
Mailing address:
  • Phone: 917-727-5223
  • Fax: 917-591-2866

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. HYUNYOUNG PARK
Title or Position: OWNER
Credential: PSYD
Phone: 917-727-5223