Individual provider Active NPI

Youeun Song, MD

  • Psychiatry Physician
  • Mars, PA
National Provider Identifier
1386908093
Registry record updated Feb 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD457764 Issued in PA
Practice address
521 Route 228
Mars, PA 16046-3150
Phone
(724) 625-3141
Fax
(877) 714-5285
NPI assigned
Jun 27, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 202626 PA
Child & Adolescent Psychiatry Physician 2084P0804X MD457764 PA
Psychiatry Physician 2084P0800X MD457764 PA Primary

Addresses

Primary practice location

521 Route 228
Mars, PA 16046-3150

Mailing address

213 Ridgeview Cir
Glenshaw, PA 15116-2666

Other practice location 1

3811 OHara St
Pittsburgh, PA 15213-2561
Phone (412) 624-2100

Other practice location 2

2808 State St Ste 102
Erie, PA 16508-1830
Phone (814) 325-9409

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171108003070 PA Practitioner - Psychiatry 7012273972 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Pittsburgh PhysiciansGroup PAC ID 8729990239, 4,166 clinicians

Practice addresses (Care Compare)

3811 Ohara St
Pittsburgh, PA 15213-2597
Phone (412) 624-1000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
202626PAMDPsychiatry Physician
MD457764PAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Pittsburgh Physicians Current Accepting new patients
University of Pittsburgh Physicians CurrentSince Sep 5, 2017 Accepting new patients
University of Pittsburgh Physicians Psychiatry CurrentSince Sep 5, 2017 Accepting new patients
Clearview Psychiatry PLLC Psychiatry PastSince Feb 4, 2024 Accepting new patients

Locations

2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864

3811 Ohara St
Pittsburgh, PA 15213
Phone (412) 624-2000

Interoperability endpoints

  • Direct secure messaging: youeun.song@upmcdirect.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1340755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708560000000",
    "number": "1386908093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 RIDGEVIEW CIR",
            "city": "GLENSHAW",
            "state": "PA",
            "postal_code": "151162666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 ROUTE 228",
            "city": "MARS",
            "state": "PA",
            "postal_code": "160463150",
            "telephone_number": "724-625-3141",
            "fax_number": "877-714-5285"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3811 OHara St",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152132561",
            "country_code": "US",
            "telephone_number": "412-624-2100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2808 State St Ste 102",
            "address_purpose": "LOCATION",
            "city": "Erie",
            "state": "PA",
            "postal_code": "165081830",
            "country_code": "US",
            "telephone_number": "814-325-9409",
            "fax_number": "814-325-9805",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SONG",
        "first_name": "YOUEUN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-27",
        "last_updated": "2024-02-22",
        "certification_date": "2024-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "202626",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "PA",
            "license": "MD457764",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD457764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mars, PA

Sources for this page

Verify at the official NPI Registry.