Active NPI
Yixing Song
- Psychologist
- Milwaukee, WI
National Provider Identifier
1972012144
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 552857
- Practice address
- 777 N Jefferson St Ste 408
Milwaukee, WI 53202-3875 - Phone
- (414) 368-0257
- NPI assigned
- Sep 20, 2017
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 552857 | WI | Primary |
Addresses
Primary practice location
777 N Jefferson St Ste 408
Milwaukee, WI 53202-3875
Mailing address
N62W14355 Rolling Ridge Dr
Menomonee Falls, WI 53051-5863
Phone (414) 368-0257
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 |
|---|---|---|---|
| 552857 | WI | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505865600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779321600000",
"number": "1972012144",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "N62W14355 ROLLING RIDGE DR",
"city": "MENOMONEE FALLS",
"state": "WI",
"postal_code": "530515863",
"telephone_number": "414-368-0257"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "777 N JEFFERSON ST STE 408",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532023875",
"telephone_number": "414-368-0257"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SONG",
"first_name": "YIXING",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-20",
"last_updated": "2026-05-21",
"certification_date": "2026-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "WI",
"license": "552857",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.