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

Dr. Thomas Park, MD

Individual provider Addiction Medicine (Psychiatry & Neurology) Physician · NPI 1629169412

Dr. Thomas Park, MD is a Psychiatry in Southfield, Michigan. Qualified in 1968, 58 years ago. Practices as a sole proprietor and offers telehealth. Licensed in Michigan.

Years since qualifying
58
Licensed in
MI
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

23077 Greenfield #430
Southfield, MI 48075
Phone: (248) 552-0044
Fax: (248) 423-7777
Show map & directions

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

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 4301040933 (MI)
Addiction Medicine (Psychiatry & Neurology) Physician Taxonomy 2084A0401X · Licence 040933 (MI)

Record details

NPI number1629169412
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedSeptember 27, 2006
Last updated in NPPESAugust 16, 2023

Medicare enrollment

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

Medicare specialtyPSYCHIATRY
Also practisesADDICTION MEDICINE, NEUROPSYCHIATRY, PAIN MANAGEMENT
Medical schoolOTHER
Graduated 1968 (58 years in practice)
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Southfield