IndividualActive
Jennifer Park, MD
NPI 1063402147 · Psychiatry Physician · Concord, MA
Provider details
- NPI number
- 1063402147
- Entity type
- Individual
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- Yes
- License
- 210049 (MA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(95/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
131 Old Road to 9 Acre Cor Ste 620
Concord, MA 01742-4191
Phone: (703) 403-4204
Fax: (571) 446-4015
Street-level locationGet directions
Mailing address
80 Rollingwood Ln
Concord, MA 01742-4302
Additional practice locations (1)
- 1355 Beverly RdSuite 225Mc Lean, VA 22101-3651Phone: (703) 403-4204Fax: (571) 297-6277
Registry dates
- Enumerated
- 2005-10-28
- Last updated
- 2023-09-26
- Certified
- 2023-09-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.