Active NPI
Tara Trout, PSY.D.
- Psychologist
- Brooklyn, NY
National Provider Identifier
1205202900
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 022406
- Practice address
- 343 4TH Ave
2C
Brooklyn, NY 11215 - Phone
- (929) 262-0674
- Fax
- (914) 931-2027
- NPI assigned
- Aug 17, 2015
- Last updated
- Apr 12, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 022406 | NY | Primary |
Addresses
Primary practice location
343 4TH Ave
2C
Brooklyn, NY 11215
Mailing address
800 Third Ave
Suite a #1183
New York, NY 10022-0030
Phone (914) 340-4203
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205202900 | Other | WORK |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | drtaratrout@fetch-help.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 022406 | NY | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Skyline Counseling Center P.C. | Psychologist | Current | Accepting new patients |
| Fetch Help Psychological Services PLLC | Psychologist | Current | Accepting new patients |
| Fetch Help LLC | Psychologist | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649721600000",
"number": "1205202900",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 THIRD AVE",
"address_2": "SUITE A #1183",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100220030",
"telephone_number": "914-340-4203",
"fax_number": "914-931-2027"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "343 4TH AVE",
"address_2": "2C",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11215",
"telephone_number": "929-262-0674",
"fax_number": "914-931-2027"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TROUT",
"first_name": "TARA",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-08-17",
"last_updated": "2022-04-12",
"certification_date": "2022-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "022406",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WORK",
"identifier": "1205202900",
"state": null
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "drtaratrout@fetch-help.com",
"affiliation": "N",
"endpointDescription": "practice email address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "800 Third Ave",
"address_2": "Suite A #1183",
"city": "New York",
"state": "NY",
"country_code": "US",
"postal_code": "100220030",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.