DR. VUTHY OU PSYD
NPI 1124744701
Psychologist - Clinical in Philadelphia, PA

Active since October 17, 2022PECOS EnrolledAccepts Medicare Assignment
4157 RIDGE AVE # B, PHILADELPHIA, PA 19129(267) 417-4944 Get Directions Write a Review

NPPES record last updated: October 17, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Vuthy Ou Psyd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. VUTHY OU PSYD (NPI 1124744701) is an individual clinical provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (PS019669) and active in the NPI registry since October 2022. He is enrolled in Medicare PECOS, maintains a secondary practice location in Philadelphia, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1124744701
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. VUTHY OUCredential: PSYD
Location Address4157 RIDGE AVE # BPhiladelphia, PA 19129-1545
Mailing Address4157 Ridge Ave # BPhiladelphia, PA 19129-1545 · (267) 417-4944
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateOctober 17, 2022
NPPES CertifiedOctober 16, 2022
NPI 1124744701 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in PA · PS019669
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
4157 RIDGE AVE # B, Philadelphia, PA 19129

Secondary Practice Location 1

Location 1255 S 17th St Ste 2903Philadelphia, PA 19103-6201 · Phone (267) 417-4944

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Vuthy Ou Psyd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1254704224
PECOS Enrollment IDI20230223000098
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19129 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$180.99 typical visit price
range $59.88 – $180.99
Typical copayment $45.24 (range $14.97 – $45.24)
Most-billed visit code 99205
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vuthy Ou's NPI number?

The NPI number for Vuthy Ou is 1124744701. It was assigned to this individual provider in the NPPES registry on October 17, 2022.

Where is Vuthy Ou located?

Vuthy Ou practices at 4157 Ridge Ave # B, Philadelphia, PA 19129. The listed phone number is (267) 417-4944.

What is Vuthy Ou's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Vuthy Ou enrolled in Medicare?

Yes. Vuthy Ou is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Vuthy Ou was last updated on October 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.