Individual provider Active NPI

Abigail Marie Taylor-Trout

  • Clinical Psychologist
  • Kennett Square, PA
National Provider Identifier
1194315895
Registry record updated Sep 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS020262 Issued in PA
Practice address
500 Orchard Ave # C101
Kennett Square, PA 19348-1812
Phone
(484) 748-4881
NPI assigned
Jan 26, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PS020262 PA Primary

Addresses

Primary practice location

500 Orchard Ave # C101
Kennett Square, PA 19348-1812

Mailing address

500 Orchard Ave # C101
Kennett Square, PA 19348-1812
Phone (484) 748-4881

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250207001308 PA Practitioner - Clinical Psychologist 0244760171 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Chester County Well-Being, LLCGroup PAC ID 6709282619, 4 clinicians

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

LicenseStateTypeSpecialty
PS020262PAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Chester County Well-Being, LLC CurrentSince Feb 4, 2025 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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1611619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725840000000",
    "number": "1194315895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 ORCHARD AVE # C101",
            "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 # C101",
            "city": "KENNETT SQUARE",
            "state": "PA",
            "postal_code": "193481812",
            "telephone_number": "484-748-4881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR-TROUT",
        "first_name": "ABIGAIL",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-26",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS020262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennett Square, PA

Sources for this page

Verify at the official NPI Registry.