Joy Song, APRN, PMHNP-BC
Nurse Practitioner, Psych/Mental Health in New York, NY. Individual provider (NPI-1).
NPI number1104759505
StatusActive
Last updated in NPPESJun 4, 2026
Details
- NPI
- 1104759505
- Entity type
- Individual (NPI-1)
- Name
- Joy Song
- Credential
- APRN, PMHNP-BC
- Sole proprietor
- No
- Enumeration date
- Jun 4, 2026
- Certification date
- Jun 4, 2026
- Last updated
- Jun 4, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | 10016087 | OR | Yes |
Practice location
25 W 45th St Fl 10New York, NY 10036-4916
Phone 516-505-7200
Mailing address
25 W 45th St Fl 10New York, NY 10036-4916
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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