Jeoung Park, PSYCHOLOGIST
NPI 1578723805 · Clinical Psychologist · Fresno, CA
Enrolled with Medicare as Practitioner - Clinical Psychologist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jeoung Park, PSYCHOLOGIST is a Clinical Psychologist provider in Fresno, CA (NPI 1578723805).
Provider details
- NPI number
- 1578723805
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- PSYCHOLOGIST
- Sex
- Male
- Sole proprietor
- Yes
- License
- PSY29775 (CA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
18 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
219 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. 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.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Psychotherapy, 1 Hour90837 | 219 | $151 |
Typical Medicare-allowed amounts for these services range $151–$151 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Additional practice locations (1)
- 4460 W Shaw Ave # 555Fresno, CA 93722-6210Phone: (559) 492-6689
Registry dates
- Enumerated
- 2008-06-10
- Last updated
- 2018-09-10
Frequently asked questions
- What is Jeoung Park's NPI number?
- Jeoung Park's National Provider Identifier (NPI) is 1578723805, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jeoung Park's specialty?
- Jeoung Park is listed in the NPPES registry with a primary specialty of Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Jeoung Park located?
- Jeoung Park's practice location on file with NPPES is 1357 W Shaw Ave, Fresno, CA 93711-3619.
- What is Jeoung Park's phone number?
- The practice phone number listed in the NPPES registry for Jeoung Park is (559) 970-4812.
- Does Jeoung Park accept Medicare?
- Jeoung Park is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jeoung Park's NPI active?
- Yes — Jeoung Park's NPI (1578723805) is active in the NPPES registry as of the last update on 2018-09-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.