CYNTHIA SONG PSYD
NPI 1609265115
Psychologist - Clinical in Portland, OR

Active since January 21, 2015PECOS EnrolledAccepts Medicare Assignment
97.83/100
CMS Quality Rating
3303 S BOND AVE BLDG 17TH, PORTLAND, OR 97239(734) 474-4144 Get Directions Write a Review

NPPES record last updated: November 7, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Cynthia Song Psyd NPPES

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

CYNTHIA SONG PSYD (NPI 1609265115) is an individual clinical provider in Portland, Oregon, licensed in Oregon (3071) and active in the NPI registry since January 2015. She is enrolled in Medicare PECOS, is affiliated with Ohsu Hospital And Clinics, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1609265115
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameCYNTHIA SONGCredential: PSYD
Location Address3303 S BOND AVE BLDG 17THPortland, OR 97239-4501
Mailing Address3303 S Bond Ave Bldg 17thPortland, OR 97239-4501 · (734) 474-4144
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateJanuary 21, 2015
Last NPPES UpdateNovember 7, 2022
NPPES CertifiedNovember 7, 2022
✔ NPI 1609265115 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 OR · 3071
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 ListedCounselor · Mental HealthTaxonomy 101YM0800X
3303 S BOND AVE BLDG 17TH, Portland, OR 97239

Accepted 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

Cynthia Song Psyd 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 ID4284002775
PECOS Enrollment IDI20221114002528
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 Cynthia Song reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health (Including Community Mental Health Center)
2525 SW FIRST AVE STE 1215
Portland, OR 97201
  • Reassigned Medicare billing, Oregon enrollment
  • 2,212 clinicians in this Medicare group

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

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ohsu Hospital And Clinics

Acute Care Hospitals · Portland, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number380009
Location3181 SW Sam Jackson Park RoadPortland, OR 97239 · Multnomah County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97239 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
$176.88 typical visit price
range $58.99 – $176.88
Typical copayment $44.22 (range $14.74 – $44.22)
Most-billed visit code 99205
Established Patient
$103.51 typical visit price
range $19.32 – $144.79
Typical copayment $25.87 (range $4.83 – $36.19)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

97.83/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.97
Promoting Interoperability100
Improvement Activities40

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 Cynthia Song's NPI number?

The NPI number for Cynthia Song is 1609265115. It was assigned to this individual provider in the NPPES registry on January 21, 2015.

Where is Cynthia Song located?

Cynthia Song practices at 3303 S Bond Ave Bldg 17th, Portland, OR 97239. The listed phone number is (734) 474-4144.

What is Cynthia Song's specialty?

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

Is Cynthia Song enrolled in Medicare?

Yes. Cynthia 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 Cynthia Song's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Cynthia Song reassigns Medicare benefits to University Professional Services (Portland, OR). 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 Cynthia Song's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Cynthia Song accept?

Health plans from Kaiser Permanente, Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan list Cynthia 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.

Is Cynthia Song affiliated with any hospitals?

According to CMS data, Cynthia Song is affiliated with Ohsu Hospital And Clinics.

When was this NPI record last updated?

The NPPES record for Cynthia Song was last updated on November 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.