Jennie Song, Psy.d., LLC
Psychologist, Clinical in Newington, Connecticut
1578260139- Practice location
- 55 Brinley Way, Newington, CT 06111-1152
- Phone
- 860-878-9333
- Fax
- —
- Last updated
- October 31, 2026
Jennie Song, Psy.d., LLC is a healthcare organization based in Newington, CT. Jennie Song, Psy.d., LLC practices in Newington, CT. The NPI Number for Jennie Song, Psy.d., LLC is 1578260139. The current practice location address for Jennie Song, Psy.d., LLC is 55 Brinley Way, Newington, CT 06111-1152 and can be reached out via phone at 860-878-9333.
Provider Profile Details
- NPI Number
- 1578260139
- Provider Name
- Jennie Song, Psy.d., LLC
- Provider Entity Type
- Organization
- Address
- 55 Brinley Way, Newington, CT 06111-1152
- Phone Number
- 860-878-9333
- Primary Taxonomy
- Psychologist, Clinical · 103TC0700X
- Organization Subpart
- No
- Authorized Official
- Dr. Jennie Song, PSYD · Clinical Psychologist · 860-333-8421
- Provider Enumeration Date
- February 13, 2023
- Last Update Date
- October 31, 2026
- Certification Date
- October 31, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 55 Brinley Way
Newington, CT 06111-1152 - City
- Newington
- State
- Connecticut
- Zip
- 06111-1152
- Phone Number
- 860-878-9333
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
- 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. | |||
Other Psychologist, Clinical providers near Newington, CT
View all Psychologist, Clinical providers in Newington →Frequently Asked Questions
What is the NPI number of Jennie Song, Psy.d., LLC?
The NPI number of Jennie Song, Psy.d., LLC is 1578260139. It was assigned on February 13, 2023 and is currently active in the NPPES registry.
What is the specialty of Jennie Song, Psy.d., LLC?
Jennie Song, Psy.d., LLC is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X).
Where does Jennie Song, Psy.d., LLC practice?
The practice location is 55 Brinley Way, Newington, CT 06111-1152. The office can be reached at 860-878-9333 (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 1578260139 directly on the NPPES registry website.