JENNIE SONG (PSY.D.) – Clinical Psychologist, NPI 1427496108
Clinical Psychologist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
586 CLINICAL PSYCHOLOGIST in CT
Provider Addresses for JENNIE SONG (PSY.D.)
61 WELLS RD
WETHERSFIELD, CT 061093043
Phone: (860) 372-4811
Type: Mailing
270 FARMINGTON AVE STE 313
FARMINGTON, CT 060321909
Phone: (860) 333-8421
Type: Location
55 BRINLEY WAY
NEWINGTON, CT 061111152
Phone: (860) 878-9333
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2023-06-06
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20230606003153 | I | Clinical Psychologist | CT | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 90832 | Psychotherapy, 30 minutes | 306 | 75 | $0 |
| 90791 | Psychiatric diagnostic evaluation | 96 | 95 | $0 |
| 96132 | Evaluation of neuropsychological test, first hour | 14 | 13 | $0 |
| 96136 | Administration of psychological or neuropsychological test, first 30 minutes | 14 | 13 | $0 |
Insurance plans in this area (ZIP 06109)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | CT | |
| Clinical Social Worker | CT | |
| Clinical Social Worker | CT | |
| Nurse Practitioner | CT | |
| Nurse Practitioner | CT | |
| Certified Clinical Nurse Specialist (Cns) | CT | |
| Clinical Psychologist | CT | |
| Nurse Practitioner | CT | |
| Nurse Practitioner | CT | |
| Nurse Practitioner | CT |
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