Individual provider Active NPI

Ellen B. Taupin, PH.D.

  • Psychologist
  • Wyncote, PA
National Provider Identifier
1669543187
Registry record updated Nov 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS004864L Issued in PA
Practice address
25 Washington LN Ste 8a
Wyncote, PA 19095-1400
Phone
(215) 830-9841
NPI assigned
Nov 13, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PS004864L PA Primary

Addresses

Primary practice location

25 Washington LN Ste 8a
Wyncote, PA 19095-1400

Mailing address

25 Washington LN Ste 8a
Wyncote, PA 19095-1400
Phone (215) 830-9841

Other identifiers 2

IdentifierTypeStateIssuer
0108853000OtherPAIND BLUE CROSS PROVIDER #
TA500684OtherPAHIGHMARK BLUE SHIELD PROV

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
I20110201000658 PA Practitioner - Clinical Psychologist 1254510639 Practice locations: Dresher, PA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1729 Somerset St
Dresher, PA 19025-1312
Phone (215) 830-9841

25 Washington LN
Suite 8a
Wyncote, PA 19095-1400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PS004864LPAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Quiet Man Holdings LLC PastSince Nov 27, 2022 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": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668902400000",
    "number": "1669543187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 WASHINGTON LN STE 8A",
            "city": "WYNCOTE",
            "state": "PA",
            "postal_code": "190951400",
            "telephone_number": "215-830-9841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 WASHINGTON LN STE 8A",
            "city": "WYNCOTE",
            "state": "PA",
            "postal_code": "190951400",
            "telephone_number": "215-830-9841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAUPIN",
        "first_name": "ELLEN",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-13",
        "last_updated": "2022-11-20",
        "certification_date": "2022-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS004864L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IND BLUE CROSS PROVIDER #",
            "identifier": "0108853000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD PROV",
            "identifier": "TA500684",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyncote, PA

Sources for this page

Verify at the official NPI Registry.