Active NPI
Yi Song, LIC. AC.
- Acupuncturist
- Boston, MA
National Provider Identifier
1053488791
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 223246
- Practice address
- 60 State St
Suite 700
Boston, MA 02109-1800 - Phone
- (617) 344-1441
- Fax
- (617) 206-3889
- NPI assigned
- Nov 29, 2006
- Last updated
- May 21, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 223246 | MA | Primary |
Addresses
Primary practice location
60 State St
Suite 700
Boston, MA 02109-1800
Mailing address
1834 Centre St
Unit 320594
West Roxbury, MA 02132-0230
Phone (617) 344-1441
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 223246 | MA | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hollibalance Well-Being Center LLC | Acupuncturist | Current | Accepting new patients |
Locations
1834 Centre St
Unit 320594
West Roxbury, MA 02132
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1400630400000",
"number": "1053488791",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1834 CENTRE ST",
"address_2": "UNIT 320594",
"city": "WEST ROXBURY",
"state": "MA",
"postal_code": "021320230",
"telephone_number": "617-344-1441",
"fax_number": "617-206-3889"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 STATE ST",
"address_2": "SUITE 700",
"city": "BOSTON",
"state": "MA",
"postal_code": "021091800",
"telephone_number": "617-344-1441",
"fax_number": "617-206-3889"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SONG",
"first_name": "YI",
"credential": "LIC. AC.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-29",
"last_updated": "2014-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "MA",
"license": "223246",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.