AHYOUNG TAE PSYD
NPI 1437930229
Psychologist - Clinical in Philadelphia, PA
About Ahyoung Tae Psyd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AHYOUNG TAE PSYD (NPI 1437930229) is an individual clinical provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (PS020426) and active in the NPI registry since October 2023. She is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Ahyoung Tae 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.
Medicare Billing Reassignments
2Medicare enrollment records show Ahyoung Tae reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Philadelphia, PA 19148
- Reassigned Medicare billing, Pennsylvania enrollment
Philadelphia, PA 19145
- Reassigned Medicare billing, Pennsylvania enrollment
- 12 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 19148 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Ahyoung Tae's NPI number?
The NPI number for Ahyoung Tae is 1437930229. It was assigned to this individual provider in the NPPES registry on October 9, 2023.
Where is Ahyoung Tae located?
Ahyoung Tae practices at 1315 Wolf St Unit 2, Philadelphia, PA 19148. The listed phone number is (410) 921-0048.
What is Ahyoung Tae's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Ahyoung Tae enrolled in Medicare?
Yes. Ahyoung Tae 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.
Which organizations bill Medicare for Ahyoung Tae's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ahyoung Tae reassigns Medicare benefits to 2 organizations: Ahyoung Tae, Psyd (Philadelphia, PA) and Estadt Psychological Services, LLC (Philadelphia, PA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ahyoung Tae's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Ahyoung Tae was last updated on July 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.
# Ahyoung Tae, PSYD · NPI 1437930229
Clinical provider in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since October 9, 2023.
## Identity
- **NPI:** 1437930229 (Entity type: Individual)
- **Enumerated:** October 9, 2023
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **State license:** PS020426 (Pennsylvania)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1315 WOLF ST UNIT 2, Philadelphia, PA 19148-2911
- **Phone:** (410) 921-0048
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Ahyoung Tae, Psyd (NPI 1770472524, Philadelphia, PA); Estadt Psychological Services, LLC (NPI 1801288667, Philadelphia, PA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** July 31, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1437930229) · Data from the CMS NPPES public registry.