Active NPI
Ziheng Song, PHD
- Psychologist
- Tacoma, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- SP00762
- Practice address
- 917 Pacific Ave
Tacoma, WA 98402-4446 - Phone
- (888) 868-8417
- NPI assigned
- May 22, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | AP61650187 | WA | |
| Psychologist | 103T00000X | SP00762 | Primary | |
| Nurse Practitioner | 363L00000X | 95034932 | CA | |
| Nurse Practitioner | 363L00000X | 406923 | NY |
Addresses
Primary practice location
917 Pacific Ave
Tacoma, WA 98402-4446
Mailing address
99 Antelope Way Unit 336
Columbus, OH 43235-4415
Phone (888) 868-8417
Other practice location 1
2 Jiangtai Rd
Chaoyang Road
Beijing, Beijing 100016
CN
Other practice location 2
220 5th Ave
New York, NY 10001-7708
Phone (888) 868-8417
Other practice location 3
299 Glenwood Ave
Bloomfield, NJ 07003-2445
Phone (888) 868-8417
Other practice location 4
7901 4th St N
St Petersburg, FL 33702-4305
Phone (888) 868-8400
Other practice location 5
120 Santa Margarita Ave
Menlo Park, CA 94025-2725
Phone (888) 868-8417
Other practice location 6
655 S Main St
Orange, CA 92868-4690
Phone (888) 868-8410
Other practice location 7
1001 Lakeside Ave E
Cleveland, OH 44114-1158
Phone (888) 868-8417
Other names 1
- Jason Song
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95034932 | CA | MD | Nurse Practitioner |
| 406923 | NY | MD | Nurse Practitioner |
| AP61650187 | WA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Uplift Me LLC | Psychologist | Current | Accepting new patients |
| MD Psych Care LLC | Clinical | Past | Accepting new patients |
Locations
3030 Warrenville Rd
Lisle, IL 60532
Phone (630) 245-1010
305 N Main St
Taylor, TX 76574
Phone (310) 927-0284
Organizations & group practices 2
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Orange, CA
- NPI 1659232833
Clinical
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773792000000",
"number": "1861184681",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "99 ANTELOPE WAY UNIT 336",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432354415",
"telephone_number": "888-868-8417"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "917 PACIFIC AVE",
"city": "TACOMA",
"state": "WA",
"postal_code": "984024446",
"telephone_number": "888-868-8417"
}
],
"practiceLocations": [
{
"address_1": "2 Jiangtai Rd",
"address_2": "Chaoyang Road",
"address_purpose": "LOCATION",
"city": "Beijing",
"state": "Beijing",
"postal_code": "100016",
"country_code": "CN",
"country_name": "China",
"address_type": "FGN"
},
{
"address_1": "220 5th Ave",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100017708",
"country_code": "US",
"telephone_number": "888-868-8417",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "299 Glenwood Ave",
"address_purpose": "LOCATION",
"city": "Bloomfield",
"state": "NJ",
"postal_code": "070032445",
"country_code": "US",
"telephone_number": "888-868-8417",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7901 4th St N",
"address_purpose": "LOCATION",
"city": "St Petersburg",
"state": "FL",
"postal_code": "337024305",
"country_code": "US",
"telephone_number": "888-868-8400",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "120 Santa Margarita Ave",
"address_purpose": "LOCATION",
"city": "Menlo Park",
"state": "CA",
"postal_code": "940252725",
"country_code": "US",
"telephone_number": "888-868-8417",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "655 S Main St",
"address_purpose": "LOCATION",
"city": "Orange",
"state": "CA",
"postal_code": "928684690",
"country_code": "US",
"telephone_number": "888-868-8410",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1001 Lakeside Ave E",
"address_purpose": "LOCATION",
"city": "Cleveland",
"state": "OH",
"postal_code": "441141158",
"country_code": "US",
"telephone_number": "888-868-8417",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SONG",
"first_name": "ZIHENG",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-05-22",
"last_updated": "2026-03-18",
"certification_date": "2026-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WA",
"license": "AP61650187",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist",
"state": null,
"license": "SP00762",
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "95034932",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NY",
"license": "406923",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JASON",
"last_name": "SONG",
"credential": "PHD",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.