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

Jae Ung Park

Individual provider Music Therapist · NPI 1912891326

Jae Ung Park is a Music Therapist in Newton, Massachusetts. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2025
Specialties on file
2

Practice location Address checks out

109 Oak St Ste 201
Newton, MA 02464-1493
Phone: (617) 221-6040
Show map & directions

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

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X
Music Therapist Taxonomy 225A00000X · Licence 17416 (CA)

Record details

NPI number1912891326
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 9, 2025
Last updated in NPPESJuly 9, 2026
Certification dateJuly 9, 2026
Mailing address139 Washington St Apt 737, Boston, MA 02135-4372

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