Jennie Song, PSY.D.
NPI 1427496108ActiveIndividual· Psychologist, Clinical· West Hartford, CT
Psychologist, Clinical (PSY.D.) with Harvest Healthcare LLC, practicing in West Hartford, Connecticut. Medicare paid $48,864 for services to 153 patients in 2024.
Overview
| NPI | 1427496108 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PSY.D. |
| Sole proprietor | No |
| NPI issued | Jun 4, 2013 |
| Last updated in NPPES | Oct 15, 2026 |
| Certified by provider | Oct 15, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | 004249 | CT |
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) | Enrolled Practitioner - Clinical Psychologist (CT) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 153 |
|---|---|
| Services billed | 643 across 6 procedure codes |
| Paid by Medicare | $48,864 |
Education and affiliations
| Graduation year | 2014 |
|---|---|
| Medicare specialty | Clinical Psychologist |
Medical group
- Harvest Healthcare LLCAvon, CT · 69 clinicians
Other clinical psychologists in West Hartford
- 1023761459
- 1124738521
- 1235257601
- 1235646316
- 1346019544
- 1356567341
- 1376004481
- 1386782977
- 1467994053
- 1487861878
- 1508999764
- 1558179325
All 75 clinical psychologists in West Hartford · All clinical psychologists in Connecticut