Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jisoo Park, DO

Individual provider Psychiatry Physician · NPI 1497133813

Dr. Jisoo Park, DO practises Psychiatry in New York, New York. Graduated from Nova Southeastern College of Osteo Medicine in 2015, 11 years ago. Practices with Mccd Psychiatry Services PLLC, a 206-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in New York, Pennsylvania and Virginia.

Years since qualifying
11
Trained at
Nova Southeastern College of Osteo Medicine
Licensed in
NY, PA, VA
In the registry since
2015
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

109 W 27th St Ste 5S
New York, NY 10001-6208
Phone: (833) 351-8255
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2418 E York St, Philadelphia, PA 19125-3006 — (833) 351-8255
  • 2800 Eisenhower Ave Ste 220, Alexandria, VA 22314-4587 — (833) 351-8255

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 297072 (NY)
Psychiatry Physician Taxonomy 2084P0800X · Licence OS022564 (PA)
Psychiatry Physician Taxonomy 2084P0800X · Licence 0102207594 (VA)

Record details

NPI number1497133813
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 18, 2015
Last updated in NPPESOctober 13, 2023
Certification dateOctober 13, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPSYCHIATRY
Medical schoolNOVA SOUTHEASTERN COLLEGE OF OSTEO MEDICINE
Graduated 2015 (11 years in practice)
Group practice McCd Psychiatry Services Pllc — 206 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Colleagues at Mccd Psychiatry Services PLLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 206 clinicians in the practice; 12 are shown here.

Other providers in New York