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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JENNIE SONG PSY.D.
NPI 1427496108
Psychologist - Clinical in West Hartford, CT

Active since June 04, 2013PECOS EnrolledAccepts Medicare Assignment
PO BOX 330124, WEST HARTFORD, CT 06133(860) 333-8421 Get Directions Write a Review

NPPES record last updated: October 15, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 15, 2026, Nov 17, 2023, Nov 11, 2023 and 1 more (4 updates tracked since 2022).

About Jennie Song Psy.d. NPPES

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

JENNIE SONG PSY.D. (NPI 1427496108) is an individual clinical provider in West Hartford, Connecticut, licensed in Connecticut (004249) and active in the NPI registry since June 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1427496108
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameJENNIE SONGCredential: PSY.D.
Location AddressPO BOX 330124West Hartford, CT 06133-0124
Mailing AddressPo Box 330124West Hartford, CT 06133-0124 · (860) 878-9333
Phone(860) 333-8421
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJune 4, 2013
Last NPPES UpdateOctober 15, 20264 updates tracked since enumeration
NPPES CertifiedOctober 15, 2026
✔ NPI 1427496108 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in CT · 004249
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.
PO BOX 330124, West Hartford, CT 06133
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jennie Song Psy.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2466819438
PECOS Enrollment IDI20230606003153
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.

Medicare Billing Reassignment

Medicare enrollment records show Jennie Song reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Harvest Healthcare LLC
5.3 mi
Clinical
21 WATERVILLE RD
Avon, CT 06001
  • Reassigned Medicare billing, Connecticut enrollment
  • 144 clinicians in this Medicare group
NPI 1477712917 (860) 284-0182

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 30 minutes 90832
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.
491 services112 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
106 services106 patients
Evaluation of neuropsychological test, first hour 96132
An evaluation of neuropsychological tests is a process to assess your brain's function. It involves tasks designed to measure cognitive abilities such as memory, attention, problem-solving, and language skills. The first hour involves initial testing and observation.
19 services19 patients
Administration of psychological or neuropsychological test, first 30 minutes 96136
This procedure involves a health professional conducting a psychological or neuropsychological test. The first 30 minutes typically involve understanding your mental health or brain function through various assessments. This helps in diagnosing and treating mental health disorders effectively.
18 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06133 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
$183.10 typical visit price
range $60.82 – $183.10
Typical copayment $45.77 (range $15.20 – $45.77)
Most-billed visit code 99205
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

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 Jennie Song's NPI number?

The NPI number for Jennie Song is 1427496108. It was assigned to this individual provider in the NPPES registry on June 4, 2013.

Where is Jennie Song located?

Jennie Song practices at PO Box 330124, West Hartford, CT 06133. The listed phone number is (860) 333-8421.

What is Jennie Song's specialty?

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

Is Jennie Song enrolled in Medicare?

Yes. Jennie Song is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Jennie Song's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennie Song reassigns Medicare benefits to Harvest Healthcare LLC (Avon, CT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jennie Song's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jennie Song accept?

Health plans from Anthem Blue Cross and Blue Shield list Jennie Song as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jennie Song was last updated on October 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days 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.