Individual provider Active NPI

Douglas Tyrone Livingston Quinn, PSYD, LMFT

  • Marriage & Family Therapist
  • St George, UT
National Provider Identifier
1023340585
Registry record updated Feb 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC 45338 Issued in CA
Practice address
1652 Navajo Dr
Saint George, UT 84790-7731
Phone
(415) 656-9419
NPI assigned
Feb 9, 2010
Last updated
Feb 1, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFC 45338 CA Primary

Addresses

Primary practice location

1652 Navajo Dr
Saint George, UT 84790-7731

Mailing address

411 Vinewood CT
Suisun City, CA 94585-1784

Other identifiers 2

IdentifierTypeStateIssuer
13998775-3902OtherUTUTAH DIVISION OF PROFESSIONAL LICENSING
45338OtherCACALIFORNIA BOARD OF BEHAVIORAL SCIENCES

Other names 1

  • Dr. Douglas Tyrone Quinn Former name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MFC 45338CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1265673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738368000000",
    "number": "1023340585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 VINEWOOD CT",
            "city": "SUISUN CITY",
            "state": "CA",
            "postal_code": "945851784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1652 NAVAJO DR",
            "city": "SAINT GEORGE",
            "state": "UT",
            "postal_code": "847907731",
            "telephone_number": "415-656-9419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIVINGSTON QUINN",
        "first_name": "DOUGLAS",
        "middle_name": "TYRONE",
        "name_prefix": "Dr.",
        "credential": "PSYD, LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-02-09",
        "last_updated": "2025-02-01",
        "certification_date": "2025-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 45338",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UTAH DIVISION OF PROFESSIONAL LICENSING",
            "identifier": "13998775-3902",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA BOARD OF BEHAVIORAL SCIENCES",
            "identifier": "45338",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DOUGLAS",
            "last_name": "QUINN",
            "middle_name": "TYRONE",
            "prefix": "DR.",
            "credential": "PSYD, LMFT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in St George, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.