Individual provider Active NPI

Jennie Bello, PSYD

  • Psychologist
  • Kennett Square, PA
National Provider Identifier
1356160683
Registry record updated Oct 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS020296 Issued in PA
Practice address
500 Orchard Ave # C101
Kennett Square, PA 19348-1812
Phone
(484) 748-4881
NPI assigned
Oct 3, 2024
Last updated
Oct 3, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PS020296 PA Primary

Addresses

Primary practice location

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

Mailing address

121 E Washington Ave
Clifton Heights, PA 19018-2332
Phone (917) 592-1714

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
I20250225003829 PA Practitioner - Clinical Psychologist 0042730673 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
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
PS020296PAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Chester County Well-Being, LLC CurrentSince Feb 11, 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1727913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727913600000",
    "number": "1356160683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 E WASHINGTON AVE",
            "city": "CLIFTON HEIGHTS",
            "state": "PA",
            "postal_code": "190182332",
            "telephone_number": "917-592-1714"
        },
        {
            "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": "BELLO",
        "first_name": "JENNIE",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-03",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS020296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennett Square, PA

Sources for this page

Verify at the official NPI Registry.