VIVIAN SONG (NPI# 1083199616) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083199616 |
| Entity Type | Individual |
| Full Name | VIVIAN SONG |
| Credential | PH.D. |
| Practice Address |
142 Joralemon St Ste 3e Brooklyn NY 11201-4709 |
| Practice Telephone | 7189350400 |
| Mailing Telephone | 7189350400 |
| Enumeration Date | 2018-09-29 |
| Last Update Date | 2018-09-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
Behavioral Health & Social Service Providers |
| Street Address |
142 JORALEMON ST STE 3E |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11201-4709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215291281 | Kristin Klahr | Psychologist | 142 Joralemon St Ste 3e, Brooklyn, NY 11201-4709 | 2012-06-25 |
| 1518571611 | Angela M Dewey | Psychologist | 142 Joralemon St Ste 3e, Brooklyn, NY 11201-4709 | 2020-09-04 |
| 1598382145 | Jessica Lauren Randel | Student in an Organized Health Care Education/Training Program | 142 Joralemon St Ste 3e, Brooklyn, NY 11201-4709 | 2020-06-30 |
| 1902448129 | Margolis Psychology P.C. | Psychologist | 142 Joralemon St Ste 3e, Brooklyn, NY 11201-4709 | 2019-10-09 |
| 1699326082 | Caroline Southwick | Psychologist | 142 Joralemon St Ste 3e, Brooklyn, NY 11201-4709 | 2019-09-26 |
| 1467006791 | Rachel Ganz | Clinical Neuropsychologist | 142 Joralemon St Ste 3e, Brooklyn, NY 11201-4709 | 2019-07-25 |
| 1417423617 | Kate Terranova | Technician, Other | 142 Joralemon St Ste 3e, Brooklyn, NY 11201-4709 | 2018-10-16 |
| 1730668948 | Jiwon Yoo | Psychologist | 142 Joralemon St Ste 3e, Brooklyn, NY 11201-4709 | 2018-08-08 |
| 1366928657 | Chrystal Gray | Psychologist | 142 Joralemon St Ste 3e, Brooklyn, NY 11201-4709 | 2018-07-19 |
| 1295263739 | Tara Nasir Gore | Psychologist | 142 Joralemon St Ste 3e, Brooklyn, NY 11201 | 2017-05-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992322267 | Sohrab Singh | Student in an Organized Health Care Education/Training Program | House Staff/gme Office, 121 Dekalb Avenue, The Brooklyn Hospital Center, Brooklyn, NY 11201 | 2020-07-02 |
| 1841812880 | Tara Elizabeth Buentello | Social Worker | C/o The Brooklyn Hospital Center Boy 197, 121 Dekalb Ave, Brooklyn, NY 11201 | 2020-05-13 |
| 1760017842 | New York University | Dentist | 445 Albee Square West, Floors 4a/5a, Brooklyn, NY 11201 | 2020-03-09 |
| 1851924294 | Tbhc Medical Services PC | Clinic/Center | 514 Fulton Street, Brooklyn, NY 11201 | 2020-02-13 |
| 1962040246 | Community Health Project Inc. | Clinic/Center | 40 Flatbush Avenue Extension, Brooklyn, NY 11201 | 2019-12-17 |
| 1558908731 | Ghalab Ali Alhashidi | Pharmacist | 250 Pacific St Apt#26, Brooklyn, NY 11201 | 2019-12-05 |
| 1396394524 | Avis A Sanderson | Specialist | 1 Pierre Point Plaza, Brooklyn, NY 11201 | 2019-09-10 |
| 1316501380 | Alice Weijia Huang | Social Worker | 200 Cadman Plz W Fl 12, Brooklyn, NY 11201 | 2019-04-25 |
| 1093274474 | Wts Medical Staffing, LLC | Home Health | 195 Montague St 14th Fl, Brooklyn, NY 11201 | 2019-03-15 |
| 1366927048 | Anna House | Social Worker | 210 Joralemon Street, Third Floor, Brooklyn, NY 11201 | 2018-09-28 |
| Find all providers in zip 11201 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922630631 | Juliet Lisa Collingwood | Psychologist | 471 13th St, Brooklyn, NY 11215-5206 | 2020-02-11 |
| 1013488766 | Harvey Zeichner | Psychologist | 186 Joralemon St Fl 2, Brooklyn, NY 11201-4326 | 2018-12-06 |
| 1487019097 | Paul Mccabe | Psychologist | 427 7th Ave, #2, Brooklyn, NY 11215-7359 | 2015-12-24 |
| 1801201074 | James Poole | Psychologist | 278 Humboldt St, Apt 4r, Brooklyn, NY 11206 | 2014-06-26 |
| 1215291281 | Kristin Klahr | Psychologist | 142 Joralemon St Ste 3e, Brooklyn, NY 11201-4709 | 2012-06-25 |
| 1073843462 | Jacqueline Sue Degroat | Psychologist | 816 Ditmas Ave, Brooklyn, NY 11218-5204 | 2010-01-06 |
| 1568628535 | Kathryn Leigh Clark | Psychologist | 100 8th Ave, Brooklyn, NY 11215-1554 | 2008-07-30 |
| 1538368477 | Leona M. Jaglom | Psychologist | 102 Garfield Pl, Brooklyn, NY 11215-2003 | 2007-07-11 |
| 1396844924 | Yelena Razdolskaya | Psychologist | 2785 W 5th St Apt 10e, Brooklyn, NY 11224-4612 | 2006-09-21 |
| 1487268074 | Brittany Bess | Psychologist | 483 Clermont Ave, Brooklyn, NY 11238-2253 | 2020-09-02 |
| Find all providers in BROOKLYN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.