AHYOUNG TAE, PSYD
NPI 1770472524
Community/Behavioral Health 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 1770472524) is a healthcare organization registered as a community/behavioral health in Philadelphia, Pennsylvania and active in the NPI registry since June 2025. The organization lists Ahyoung Tae, Licensed Clinical Psychologist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ahyoung Tae, Psyd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Ahyoung Tae, Psyd, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, Psyd's NPI number?
The NPI number for Ahyoung Tae, Psyd is 1770472524. It was assigned to this organization in the NPPES registry on June 28, 2025.
Where is Ahyoung Tae, Psyd located?
Ahyoung Tae, Psyd is located at 1315 Wolf St Unit 2, Philadelphia, PA 19148. The listed phone number is (267) 688-2225.
What is Ahyoung Tae, Psyd's specialty?
The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.
Is Ahyoung Tae, Psyd enrolled in Medicare?
Yes. Ahyoung Tae, Psyd is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Ahyoung Tae, Psyd?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Psychologist Billing Independently) reassigns their Medicare billing to Ahyoung Tae, Psyd. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Ahyoung Tae, Psyd was last updated on June 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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 1770472524
Community/Behavioral Health organization in Philadelphia, Pennsylvania. Organization record, active in the CMS NPPES registry since June 28, 2025.
## Identity
- **NPI:** 1770472524 (Entity type: Organization)
- **Enumerated:** June 28, 2025
- **Primary specialty:** Community/Behavioral Health · taxonomy 251S00000X
- **Organization subpart:** No
- **Authorized official:** Ahyoung Tae, LICENSED CLINICAL PSYCHOLOGIST
## Practice location
- **Address:** 1315 WOLF ST UNIT 2, Philadelphia, PA 19148-2911
- **Phone:** (267) 688-2225
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Psychologist Billing Independently) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 28, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1770472524) · Data from the CMS NPPES public registry.