Jennie Song, PSYD
Psychologist, Clinical in West Hartford, Connecticut
1427496108- Practice location
- Po Box 330124, West Hartford, CT 06133-0124
- Phone
- 860-333-8421
- Fax
- —
- Last updated
- October 15, 2026
Jennie Song is a Psychologist, Clinical based in West Hartford, CT. Jennie Song practices in West Hartford, CT and has the professional credentials of PSYD. The NPI Number for Jennie Song is 1427496108 and holds a License No. 004249 (CT). The current practice location address for Jennie Song is Po Box 330124, West Hartford, CT 06133-0124 and can be reached out via phone at 860-333-8421.
Provider Profile Details
- NPI Number
- 1427496108
- Provider Name
- Jennie Song
- Credential
- PSYD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- Po Box 330124, West Hartford, CT 06133-0124
- Phone Number
- 860-333-8421
- Primary Taxonomy
- Psychologist, Clinical · 103TC0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 4, 2013
- Last Update Date
- October 15, 2026
- Certification Date
- October 15, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- Po Box 330124
West Hartford, CT 06133-0124 - City
- West Hartford
- State
- Connecticut
- Zip
- 06133-0124
- Phone Number
- 860-333-8421
Provider Business Mailing Address Details
- Address
- Po Box 330124
West Hartford, CT 06133-0124 - City
- West Hartford
- State
- CT
- Zip
- 06133-0124
- Phone Number
- 860-878-9333
License Information
- License Number
- 004249
- License State
- CT
- Taxonomy
- Psychologist, Clinical · 103TC0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Jennie Song, PSYD?
The NPI number of Jennie Song, PSYD is 1427496108. It was assigned on June 4, 2013 and is currently active in the NPPES registry.
What is the specialty of Jennie Song, PSYD?
Jennie Song, PSYD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in CT under license number 004249.
Where does Jennie Song, PSYD practice?
The practice location is Po Box 330124, West Hartford, CT 06133-0124. The office can be reached at 860-333-8421 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1427496108 directly on the NPPES registry website.