Dr Samuel Park, PHD - Psychologist in Richmond, VA

Dr Samuel Park, PHD is a Psychologist - Clinical based in Richmond, Virginia. Dr Samuel Park is licensed to practice in Virginia (license number 0810005121) and his current practice location is 1201 Broad Rock Blvd, Richmond, Virginia. He can be reached at his office (for appointments etc.) via phone at (804) 675-5000.

NPI number for Dr Samuel Park is 1205222510 and his current mailing address is 1201 Broad Rock Blvd, Richmond, Virginia. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1205222510.

Contact Information

Dr Samuel Park, PHD
1201 Broad Rock Blvd,
Richmond, VA 23249-0001
(804) 675-5000
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Samuel Park
GenderMale
SpecialityPsychologist - Clinical
Location1201 Broad Rock Blvd, Richmond, Virginia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1205222510
  • Provider Enumeration Date: 04/13/2015
  • Last Update Date: 07/25/2019

Medical Identifiers

Medical identifiers for Dr Samuel Park such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205222510NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical 0810005121 (Virginia)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Samuel Park is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Samuel Park, PHD
1201 Broad Rock Blvd,
Richmond, VA 23249-0001

Ph: (804) 675-5000
Dr Samuel Park, PHD
1201 Broad Rock Blvd,
Richmond, VA 23249-0001

Ph: (804) 675-5000

Reviews and Comments


Psychologist in Richmond, VA

Paul Douglas Dukarm, PH.D.
Psychologist
Medicare: Accepting Medicare Assignments
Practice Location: 8730 Stony Point Pkwy, Richmond, VA 23235
Phone: 804-327-1166    Fax: 804-327-1170
Sarah Buchheit Reyes, LCP
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 530 E Main St Ste 530, Richmond, VA 23219
Phone: 804-648-0169    Fax: 804-649-4069
Dr. Jeremy Wayne Stout, PH.D.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 1207 Broad Rock Blvd, Richmond, VA 23249
Phone: 804-675-5000    
Caitlin Rose Larsen-morales,
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 1308 Sherwood Ave, Richmond, VA 23220
Phone: 804-828-3129    
Dr. Alan Frank Kleinkopf, PSY.D.
Psychologist
Medicare: May Accept Medicare Assignments
Practice Location: 5315 Cutshaw Ave, Richmond, VA 23226
Phone: 804-282-1331    
John Christian Colletti, PSYD
Psychologist
Medicare: Medicare Enrolled
Practice Location: 9515 Catesby Ln, Richmond, VA 23238
Phone: 804-741-7500    Fax: 804-741-7900
Dr. Stephan Raab Weinland, PH.D.
Psychologist
Medicare: Accepting Medicare Assignments
Practice Location: 1250 E Marshall St, Psychiatry, Richmond, VA 23298
Phone: 804-828-2000    Fax: 804-828-7675

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.