Active NPI
Amanda Barton Quayle, PSY.D,
- Clinical Psychologist
- San Diego, CA
National Provider Identifier
1063681880
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 16841
- Practice address
- 3101 4TH Ave
San Diego, CA 92103-5802 - Phone
- (619) 665-4143
- NPI assigned
- Feb 26, 2008
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 16841 | CA | Primary |
Addresses
Primary practice location
3101 4TH Ave
San Diego, CA 92103-5802
Mailing address
3101 4TH Ave
San Diego, CA 92103-5802
Phone (619) 665-4143
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Katrina Higgins, PLLC | Past | 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.
-
- Adult Mental Health Clinic/Center
- Sumner, WA
- NPI 1376987420
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203984000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203984000000",
"number": "1063681880",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3101 4TH AVE",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921035802",
"telephone_number": "619-665-4143"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3101 4TH AVE",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921035802",
"telephone_number": "619-665-4143"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUAYLE",
"first_name": "AMANDA",
"middle_name": "BARTON",
"name_prefix": "Dr.",
"credential": "PSY.D,",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-02-26",
"last_updated": "2008-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "16841",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.