VIVIAN SONG PH.D.
NPI 1083199616
Psychologist - Clinical in New York, NY

Q: What is Vivian Song's NPI number?

The NPI number for Vivian Song is 1083199616. It was assigned to this individual provider in the NPPES registry on September 29, 2018.

Q: What is Vivian Song's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: Is Vivian Song enrolled in Medicare?

No. Vivian Song has opted out of Medicare through January 14, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Vivian Song was last updated on November 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 29, 2018Opted out of Medicare · through Jan 14, 2028

519 8TH AVE RM 9, NEW YORK, NY 10018(212) 683-3339 Get Directions Write a Review

NPPES record last updated: November 30, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Nov 30, 2025, Sep 30, 2024, Sep 29, 2018 (3 updates tracked since 2018).

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About Vivian Song Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VIVIAN SONG PH.D. (NPI 1083199616) is an individual clinical provider in New York, New York, licensed in New York (023578) and active in the NPI registry since September 2018. She has opted out of Medicare through January 14, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1083199616

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameVIVIAN SONGCredential: PH.D.

Location Address519 8TH AVE RM 9New York, NY 10018-4582

Mailing Address519 8th Ave Rm 9New York, NY 10018-4582 · (212) 683-3339

Phone(212) 683-3339

Sole ProprietorYes

Enumeration DateSeptember 29, 2018

Last NPPES UpdateNovember 30, 20253 updates tracked since enumeration

NPPES CertifiedNovember 30, 2025

✔ NPI 1083199616 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in NY · 023578

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Also ListedPsychologistTaxonomy 103T00000X · License 023578 (NY)

519 8TH AVE RM 9, New York, NY 10018

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Vivian Song Ph.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 14, 2022 through January 14, 2028.

Opt-Out Effective DateJanuary 14, 2022

Opt-Out In Effect ThroughJanuary 14, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10018 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$198.19 typical visit price

range $65.69 – $198.19

Typical copayment $49.54 (range $16.42 – $49.54)

Most-billed visit code 99205

Established Patient

$114.88 typical visit price

range $21.20 – $160.66

Typical copayment $28.72 (range $5.30 – $40.16)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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