DR. EUNICE KIM SONG (NPI# 1811454267) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811454267 |
| Entity Type | Individual |
| Full Name | DR. EUNICE KIM SONG |
| Credential | PSY.D. |
| Practice Address |
177 Bovet Rd Ste 300 San Mateo CA 94402-3140 |
| Practice Telephone | 6506271700 |
| Enumeration Date | 2019-02-21 |
| Last Update Date | 2019-02-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | PSY30431 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134519762 | Eunice Song | Pharmacy Technician | 3805 Devonshire Rd, Hampstead, MD 21074-1899 | 2015-02-04 |
| 1427392729 | Eunice Song | Dentist | 9378 Forestwood Ln Ste A, Manassas, VA 20110-4742 | 2012-11-27 |
| 1487018016 | Eunice Song | Dermatology | 160 Robbins St, Waterbury, CT 06708-2652 | 2016-04-10 |
| Street Address |
177 BOVET RD STE 300 |
| City | SAN MATEO |
| State | CA |
| Zip Code | 94402-3140 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811323678 | Amber Miller | Psychologist | 177 Bovet Rd Ste 300, San Mateo, CA 94402 | 2013-09-24 |
| 1578025748 | Caitlin Metcalf | Psychologist | 177 Bovet Rd Ste 300, San Mateo, CA 94402-3140 | 2019-04-04 |
| 1841694056 | Lorena Hernandez | Psychologist | 177 Bovet Rd Ste 300, San Mateo, CA 94402-3140 | 2014-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154227 | Mark Cameron Head | Non-emergency Medical Transport (VAN) | 331 Sonora Drive, San Mateo, CA 94402 | 2020-11-06 |
| 1669032868 | County of San Mateo | Clinic/Center | 222 Paul Scannell Dr., San Mateo, CA 94402 | 2019-06-19 |
| 1417443755 | Suen Leung | Counselor | 800 Edinburgh St, San Mateo, CA 94402 | 2018-07-10 |
| 1760997902 | Blue Lotus Connection | Point of Service | 1700 S Amphlett Blvd, Ste 250b, San Mateo, CA 94402 | 2017-12-11 |
| 1982122503 | Madeline Pielert | Social Worker | 1670 S. Amphlett Blvd. 115, San Mateo, CA 94402 | 2017-09-04 |
| 1629512348 | Travis Woodmansee | Marriage & Family Therapist | 419 S El Dorado St, San Mateo, CA 94402 | 2016-12-14 |
| 1669820858 | Mohan Sundareson | Pediatrics | 1638 South Grant St, San Mateo, CA 94402 | 2016-05-27 |
| 1457712572 | New Life Acupuncture Clinic | Acupuncturist | 1720 South Amphlett Blvd # 168, San Mateo, CA 94402 | 2016-03-17 |
| 1871951434 | Nanami Oba | Physical Therapy Assistant | 20 Bennigton Dr., San Mateo, CA 94402 | 2016-02-10 |
| 1780059733 | Adrianna Cimera | Behavioral Analyst | 1710 South Amphlett Blvd, Suite 314, San Mateo, CA 94402 | 2015-12-02 |
| Find all providers in zip 94402 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811323678 | Amber Miller | Psychologist | 177 Bovet Rd Ste 300, San Mateo, CA 94402 | 2013-09-24 |
| 1487991261 | Tiffani Ledel Poulsen | Psychologist | 316 S Humboldt St, San Mateo, CA 94401-3338 | 2013-01-13 |
| 1174870109 | Jasmin Kwok | Psychologist | 1941 Ofarrell St Ste 105, San Mateo, CA 94403 | 2012-08-09 |
| 1598957193 | Laurie Leung | Psychologist | 215 N San Mateo Dr Ste 4, San Mateo, CA 94401-2674 | 2007-08-16 |
| 1326161068 | Ann Watters | Psychologist | 101 S San Mateo Dr Ste 303, San Mateo, CA 94401-3844 | 2007-04-09 |
| 1043336746 | Arnell Ruby Etherington | Psychologist | 205 Third Ave., Suite 200d, San Mateo, CA 94402 | 2007-03-22 |
| 1346309440 | Mark Lester Howard | Psychologist | 100 S Ellsworth Ave Ste 611, San Mateo, CA 94401-3928 | 2006-12-06 |
| 1134290760 | Gail W Berkley | Psychologist | 1777 Borel Place, Suite 214, San Mateo, CA 94402 | 2006-11-13 |
| 1215027354 | Rose-anne Donner | Psychologist | 1777 Borel Pl, 440, San Mateo, CA 94402-3509 | 2006-10-12 |
| 1700835923 | Nancy M. Marx | Psychologist | 155 Bovet Rd, Suite 404, San Mateo, CA 94402-3108 | 2006-05-06 |
| Find all providers in SAN MATEO | ||||
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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.