Active NPI
Melissa Sue Quinn, MHC
- Mental Health Counselor
- Middletown, NY
National Provider Identifier
1073087045
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- P10000
- Practice address
- 24 Union St
Middletown, NY 10940-4906 - Phone
- (845) 421-6336
- Fax
- (845) 341-0226
- NPI assigned
- Jan 14, 2019
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | P10000 | NY | Primary |
Addresses
Primary practice location
24 Union St
Middletown, NY 10940-4906
Mailing address
24 Union St
Middletown, NY 10940-4906
Phone (845) 421-6336
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Previously, effective Sep 11, 2024 through Sep 11, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P10000 | NY | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1547424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547424000000",
"number": "1073087045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 UNION ST",
"city": "MIDDLETOWN",
"state": "NY",
"postal_code": "109404906",
"telephone_number": "845-421-6336",
"fax_number": "845-341-0226"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24 UNION ST",
"city": "MIDDLETOWN",
"state": "NY",
"postal_code": "109404906",
"telephone_number": "845-421-6336",
"fax_number": "845-341-0226"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUINN",
"first_name": "MELISSA",
"middle_name": "SUE",
"credential": "MHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-01-14",
"last_updated": "2019-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "P10000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Middletown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.