Rui Zhe Song, PHD
NPI 1194254615ActiveIndividual· Psychologist, Clinical· Agana Heights, GU
Psychologist, Clinical (PHD) in Agana Heights, Guam, licensed in CA, with an NPI issued in June 2017.
Overview
| NPI | 1194254615 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHD |
| Sole proprietor | Yes |
| NPI issued | Jun 8, 2017 |
| Last updated in NPPES | Jun 4, 2026 |
| Certified by provider | Jun 4, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | PSY35841 | CA |
| Rehabilitation Counselor | 225C00000X | — | — |
| Psychologist | 103T00000X | — | — |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Education and affiliations
| Graduation year | 2018 |
|---|---|
| Medicare specialty | Clinical Psychologist |
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