DR. EUNICE KIM SONG PSY.D.
NPI 1811454267
Psychologist in San Mateo, CA
About Dr. Eunice Kim Song Psy.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. EUNICE KIM SONG PSY.D. (NPI 1811454267) is an individual psychologist in San Mateo, California, licensed in California (PSY30431) and active in the NPI registry since February 2019. She has opted out of Medicare through December 29, 2027.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Dr. Eunice Kim Song Psy.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 December 29, 2023 through December 29, 2027.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Eunice Song's NPI number?
The NPI number for Eunice Song is 1811454267. It was assigned to this individual provider in the NPPES registry on February 21, 2019.
Where is Eunice Song located?
Eunice Song practices at 177 Bovet Rd Ste 300, San Mateo, CA 94402. The listed phone number is (650) 627-1700.
What is Eunice Song's specialty?
The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.
Is Eunice Song enrolled in Medicare?
No. Eunice Song has opted out of Medicare through December 29, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
When was this NPI record last updated?
The NPPES record for Eunice Song was last updated on January 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.