RUI ZHE SONG PHD
NPI 1194254615
Psychologist - Clinical in Agana Heights, GU

Active since June 08, 2017PECOS Enrolled
BLDG 50 FARENHOLT AVE, AGANA HEIGHTS, GU 96910(671) 344-9222 Get Directions Write a Review

NPPES record last updated: June 4, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 4, 2026, May 5, 2025, Jul 6, 2023 and 2 more (5 updates tracked since 2017).

About Rui Zhe Song Phd NPPES

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

RUI ZHE SONG PHD (NPI 1194254615) is an individual clinical provider in Agana Heights, Guam, licensed in California (PSY35841) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1194254615
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameRUI ZHE SONGCredential: PHD
Location AddressBLDG 50 FARENHOLT AVEAgana Heights, GU 96910
Mailing AddressPo Box 12261Tamuning, GU 96931-2261
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateJune 8, 2017
Last NPPES UpdateJune 4, 20265 updates tracked since enumeration
NPPES CertifiedJune 4, 2026
NPI 1194254615 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in CA · PSY35841
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
Also ListedRehabilitation CounselorTaxonomy 225C00000X

Other Names 1

Other Name (5)Rena Song

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Rui Zhe Song Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1850886250
PECOS Enrollment IDI20251223002301
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96910 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
$180.05 typical visit price
range $60.53 – $180.05
Typical copayment $45.01 (range $15.13 – $45.01)
Most-billed visit code 99205
Established Patient
$105.65 typical visit price
range $20.09 – $147.56
Typical copayment $26.41 (range $5.02 – $36.89)
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 4

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

Dietitian, Registered
BLDG 50 FARENHOLT AVE
AGANA HEISHTS, GU 96910
Nurse Practitioner (Psychiatric/Mental Health)
BLDG 50 FARENHOLT AVE
AGANA HEIGHTS, GU 96910
Military/U.S. Coast Guard Pharmacy
BLDG 50 FARENHOLT AVE
AGANA HEIGHTS, GU 96910
Obstetrics & Gynecology
BLDG 50 FARENHOLT AVE
AGANA, GU 96910

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rui Zhe Song's NPI number?

The NPI number for Rui Zhe Song is 1194254615. It was assigned to this individual provider in the NPPES registry on June 8, 2017. The provider is also known as Rena Song.

Where is Rui Zhe Song located?

Rui Zhe Song practices at Bldg 50 Farenholt Ave, Agana Heights, GU 96910. The listed phone number is (671) 344-9222.

What is Rui Zhe Song's specialty?

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

Is Rui Zhe Song enrolled in Medicare?

Yes. Rui Zhe Song is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Rui Zhe Song was last updated on June 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.