Doctor profile · Federal record

Dr. Jessie Park, PSYD

Clinical Psychologist · San Diego, CA

  • NPI 1376953257
  • Accepts Medicare
  • 24 yrs in practice
  • Female
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
200 W Arbor Dr
San Diego, CA 921039000
(800) 926-8273
Mailing address
Po Box 232410
San Diego, CA 921932410

Credentials & registration

NPPES · NUCC
NPI registered
May 2014 — 12 yrs on file
Profile last updated
August 22, 2019
Year of graduation
2002 — 24 yrs since
Specialty taxonomy
103TC0700X — NUCC code
State license (1)
California #26248

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1376953257. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
29
Distinct HCPCS
1
Medicare allowed
$2,622
HCPCS Description Services Patients Avg allowed
96156 Assessment of health behavior 29 29 $90

In context: peer comparison

Among 31 peers in San Diego Clinical Psychologist, average services per provider: 156. This provider delivers 0.2× the peer median.

Frequently asked questions

Auto-generated from federal data
What is Dr. Jessie Park's medical specialty?
Dr. Jessie Park practices Clinical Psychologist in San Diego, CA.
Where does Dr. Jessie Park practice?
Dr. Jessie Park practices at 200 W Arbor Dr, San Diego, CA 921039000. Office phone: 8009268273.
What is Dr. Jessie Park's NPI?
Dr. Jessie Park's National Provider Identifier (NPI) is 1376953257, issued by NPPES.
Does Dr. Jessie Park accept Medicare assignment?
Yes. Dr. Jessie Park accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Jessie Park commonly perform?
Top Medicare-reported procedures in 2023: Assessment of health behavior (HCPCS 96156). Source: CMS Medicare Physician & Other Practitioners file.