Active NPI
Malynn Kuangparichat, PSY.D.
- Clinical Psychologist
- Kennett Square, PA
National Provider Identifier
1063779387
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PS017132
- Practice address
- 500 Orchard Ave Ste C
Kennett Square, PA 19348 - Phone
- (484) 748-4881
- NPI assigned
- Apr 12, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 05484 | MD | |
| Clinical Psychologist | 103TC0700X | PS017132 | PA | Primary |
Addresses
Primary practice location
500 Orchard Ave Ste C
Kennett Square, PA 19348
Mailing address
500 Orchard Ave Ste C
Kennett Square, PA 19348-1812
Phone (484) 748-4881
Other practice location 1
305 Valleybrook Rd
Chester Heights, PA 19017-0534
Phone (610) 358-2250 ext. 307
Other practice location 2
1708 W Rogers Ave
Baltimore, MD 21209-4596
Phone (410) 578-8600
Other names 1
- Dr. Malynn Mignone
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
500 Orchard Ave
Suite C
Kennett Square, PA 19348-1812
Phone (484) 748-4881
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05484 | MD | MD | Clinical Psychologist |
| PS017132 | PA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chester County Well-Being, LLC | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Counseling Psychologist
- Kennett Square, PA
- NPI 1114315173
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649635200000",
"number": "1063779387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 ORCHARD AVE STE C",
"city": "KENNETT SQUARE",
"state": "PA",
"postal_code": "193481812",
"telephone_number": "484-748-4881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 ORCHARD AVE STE C",
"city": "KENNETT SQUARE",
"state": "PA",
"postal_code": "19348",
"telephone_number": "484-748-4881"
}
],
"practiceLocations": [
{
"address_1": "305 Valleybrook Rd",
"address_purpose": "LOCATION",
"city": "Chester Heights",
"state": "PA",
"postal_code": "190170534",
"country_code": "US",
"telephone_number": "610-358-2250 x307",
"fax_number": "610-358-2251",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1708 W Rogers Ave",
"address_purpose": "LOCATION",
"city": "Baltimore",
"state": "MD",
"postal_code": "212094596",
"country_code": "US",
"telephone_number": "410-578-8600",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KUANGPARICHAT",
"first_name": "MALYNN",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-12",
"last_updated": "2022-04-11",
"certification_date": "2022-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MD",
"license": "05484",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PA",
"license": "PS017132",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MALYNN",
"last_name": "MIGNONE",
"prefix": "DR.",
"credential": "PSY.D.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Kennett Square, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.