Hyun Song, D.O.
Individual provider Active NPI Psychiatry Physician · Chillicothe, OH
NPI 1649973876 · NPPES record last updated Feb 7, 2025
Key facts
- NPI
- 1649973876
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- 34.017567 (OH)
- Practice address
- 111 W Water St
Chillicothe, OH 45601-2452 - Phone
- (740) 851-6493
- NPI assigned
- Mar 27, 2023
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Psychiatry
- Education
- Lake Erie College of Osteopathic Medicine, Erie, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Phoenix Group Home LLC
Practice addresses (Care Compare)
111 W Water St
Chillicothe, OH 45601-2452
Phone (740) 851-6493
306 W Union St
Athens, OH 45701-2312
Hospital & facility affiliations
- Adena Regional Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260311001954 | OH | Practitioner - Psychiatry | 2961862347 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34.017567 | OH | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phoenix Group Home, LLC | Current |
Accepting new patients | |
| Phoenix Group Home, LLC | Current |
Accepting new patients |
Locations
111 W Water St
Chillicothe, OH 45601
Phone (740) 779-4663
7211 N Main St
Dayton, OH 45415
Phone (937) 293-8322
Interoperability endpoints
- https://api.qualifacts.org/api/fhir/pathihc/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 34.017567 | OH | Yes |
| Student in an Organized Health Care Education/Training Program | 390200000X | 58.033328 | OH |
Addresses
Primary practice location
111 W Water St
Chillicothe, OH 45601-2452
Mailing address
111 W Water St
Chillicothe, OH 45601-2452
Phone (740) 851-6493
Other practice location 1
455 Shawnee Ln
Chillicothe, OH 45601-4145
Phone (740) 779-4888
Other providers in Chillicothe, OH
- Vicki Rae Snyder
- Nada Sommers-Claytor
- Heather Sommers I
- Stacy Michelle Sommers
- Susan Sommers
- Claire N Songer
- Elizabeth Marie Songer
- Samantha Vance Soria
- Misty Cheri Sorrell
- South Central Ohio Big Brothers Big Sisters Association
All providers in Chillicothe, OH · Psychiatry Physician in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 7, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.