Jee Son Park, PMHNP-BC
Jee Son Park, PMHNP-BC is a Psychiatric/Mental Health Nurse Practitioner in Fairfax, VA, registered under NPI 1639840788.
Getting there
The practice address on file is 3554 CHAIN BRIDGE RD STE 200, Fairfax, VA 22030. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 0024182788 | VA | Psychiatric/Mental Health Nurse… primary |
This provider holds licence 0024182788 issued in VA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.
What Psychiatric/Mental Health covers
Definition to come... NUCC Health Care Provider Taxonomy, code 363LP0808X
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1639840788 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Sep 27, 2021 |
| Last updated | Nov 26, 2025 |
| Status | Active |
| Sole proprietor | No |
| Credential | PMHNP-BC |
| Practice address |
3554 CHAIN BRIDGE RD STE 200 Fairfax, VA 22030 (703) 896-7628 Fax (703) 844-3223 |
| Mailing address |
154 TROUT LILY DR Lake Frederick, VA 22630 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 6 | 3 | 9 | 8 | 4 | 0 | 7 | 8 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 6 | 6 | 9 | 7 | 4 | 0 | 7 | 7 |
Sum = 72 · next multiple of 10 = 80 · check digit = 8 · actual last digit = 8
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.