Organization Active NPI

Anthony Quinn Psychiatry PLLC

  • Community Health Clinic/Center
  • Henderson, NV
National Provider Identifier
1063978187
Registry record updated Jun 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
Legal business name
ANTHONY QUINN PSYCHIATRY PLLC
Practice address
2831 Saint Rose Pkwy Ste 227
Henderson, NV 89052-4840
Phone
(702) 685-3300
Fax
(702) 586-3333
NPI assigned
Feb 13, 2019
Last updated
Jun 10, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2019

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

Authorized official

Name
Anthony Quinn, MDNPI 1558621151
Title
Owner
Phone
(702) 685-3300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X NU Primary
Psychiatry Physician 2084P0800X NU
Community/Behavioral Health Agency 251S00000X NU

Addresses

Primary practice location

2831 Saint Rose Pkwy Ste 227
Henderson, NV 89052-4840

Mailing address

8550 W Charleston Blvd Ste 102-403
Las Vegas, NV 89117-9210
Phone (702) 685-3300

Other identifiers 1

IdentifierTypeStateIssuer
1558621151MedicaidNV

National Provider Directory

National Provider Directory

Locations

2831 Saint Rose Pkwy
Ste 227
Henderson, NV 89052
Phone (805) 807-4140

8550 W Charleston Blvd
Ste 102403
Las Vegas, NV 89117

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1550016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560124800000",
    "number": "1063978187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8550 W CHARLESTON BLVD STE 102-403",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891179210",
            "telephone_number": "702-685-3300",
            "fax_number": "702-586-3333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2831 SAINT ROSE PKWY STE 227",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524840",
            "telephone_number": "702-685-3300",
            "fax_number": "702-586-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTHONY QUINN PSYCHIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-13",
        "last_updated": "2019-06-10",
        "status": "A",
        "authorized_official_last_name": "QUINN",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-685-3300",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1558621151",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2019; 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.