Ivy Yi Song, MD, MS

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

A181580 Issued in CA

Practice address

2230 Stockton Blvd
Sacramento, CA 95817-1353

Phone

(916) 734-2614

NPI assigned

Apr 5, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Specialty

Psychiatry

Education

University of Southern California Keck School of Medicine, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

County of San JoaquinGroup PAC ID 6002703436, 199 clinicians

Psynergy Programs, Inc.Group PAC ID 5193903813, 16 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Master of Science

State licenses

Practice roles

Locations

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.

• Psynergy Programs Inc.

  • Community/Behavioral Health Agency
  • Morgan Hill, CA
  • NPI 1801934450

  Single Specialty

  Medicare reassignment Care Compare group NPD
• San Joaquin Behavioral Health Services

  • Community/Behavioral Health Agency
  • Stockton, CA
  • NPI 1215028931
  Medicare reassignment Care Compare group
• Alliance for Wellness, Inc.

  • Psychiatry Physician
  • Inglewood, CA
  • NPI 1124329131

  Single Specialty

  Medicare reassignment NPD
• Department of State Hospitals

  • Psychiatric Hospital
  • Coalinga, CA
  • NPI 1124078704

  Single Specialty

  Medicare reassignment NPD
• County of Sacramento

  • Adult Mental Health Clinic/Center
  • Sacramento, CA
  • NPI 1043386659
  Medicare reassignment
• County of San Joaquin

  • Multi-Specialty Clinic/Center
  • Manteca, CA
  • NPI 1417407636
  NPD
• Department of State Hospitals

  • Psychiatric Hospital
  • Atascadero, CA
  • NPI 1174573802

  Single Specialty

  NPD
• Psynergy Programs, Inc.

  • Community/Behavioral Health Agency
  • Sacramento, CA
  • NPI 1649826504
  NPD
• San Joaquin County Behavioral Health Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Stockton, CA
  • NPI 1356558639
  NPD
• County of Solano

  • Federally Qualified Health Center (FQHC)
  • Fairfield, CA
  • NPI 1083845275
  NPD (past)
• Psynergy Programs, Inc.

  • Community/Behavioral Health Agency
  • Sacramento, CA
  • NPI 1194132910
  NPD (past)
• Tamika Henry MD Inc

  • Family Medicine Physician
  • Glendale, CA
  • NPI 1770381436

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1617580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771977600000",
    "number": "1447839717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8605 SANTA MONICA BLVD",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900694109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2230 STOCKTON BLVD",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958171353",
            "telephone_number": "916-734-2614"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4604A Roosevelt Ave",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958204520",
            "country_code": "US",
            "telephone_number": "916-457-3129",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "215 Huerta Ave",
            "address_purpose": "LOCATION",
            "city": "Greenfield",
            "state": "CA",
            "postal_code": "939275762",
            "country_code": "US",
            "telephone_number": "831-674-2180",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18217 Hale Ave",
            "address_purpose": "LOCATION",
            "city": "Morgan Hill",
            "state": "CA",
            "postal_code": "950373550",
            "country_code": "US",
            "telephone_number": "408-465-8280",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9343 Tech Center Dr Ste 110",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958262592",
            "country_code": "US",
            "telephone_number": "916-457-3129",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SONG",
        "first_name": "IVY",
        "middle_name": "YI",
        "credential": "MD, MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-05",
        "last_updated": "2026-02-25",
        "certification_date": "2026-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A181580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sonder Lives Inc
• Sondering Licensed Clinical Social Worker Corporation
• Amy Song
• Chenxi Song
• Der Song
• Mee NA Song, MD
• Sang Hoon Song
• Xiao Song
• Xiaoqing Song
• Sonic Traders

• Psychiatry Physician in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.