Individual provider Active NPI

Vanessa Alejandra Quintero-Lowy, PSYD

  • Clinical Psychologist
  • Concord, CA
National Provider Identifier
1093940660
Registry record updated May 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY27583 Issued in CA
Practice address
1333 Willow Pass Rd
Suite 102
Concord, CA 94520-7930
Phone
(510) 745-9151
NPI assigned
May 26, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X D3519192 CA
Clinical Psychologist 103TC0700X PSY27583 CA Primary

Addresses

Primary practice location

1333 Willow Pass Rd
Suite 102
Concord, CA 94520-7930

Mailing address

1333 Willow Pass Rd Ste 102
Concord, CA 94520-5225
Phone (925) 825-1793

Other practice location 1

2730 Shadelands Dr Bldg 10
Walnut Creek, CA 94598-2538
Phone (925) 849-8999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20230315000868 CA Practitioner - Clinical Psychologist 1153795117 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Portia Bell Hume Behavioral Health and Training CenterGroup PAC ID 0547251688, 11 clinicians

Practice addresses (Care Compare)

1333 Willow Pass Rd
Suite 102
Concord, CA 94520-5225
Phone (925) 825-1793

3095 Richmond Pkwy
Suite 201
Richmond, CA 94806-5878
Phone (925) 825-1793

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY27583CAMDClinical Psychologist
D3519192CAMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Portia Bell Hume Behavioral Health and Training Center Current Accepting new patients
Portia Bell Hume Behavioral Health & Training Center CurrentSince Dec 16, 2022 Accepting new patients

Locations

1333 Willow Pass Rd
Ste 102
Concord, CA 94520
Phone (925) 338-7928

Organizations & group practices 2

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": "1243296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716336000000",
    "number": "1093940660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1333 WILLOW PASS RD STE 102",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945205225",
            "telephone_number": "925-825-1793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1333 WILLOW PASS RD",
            "address_2": "SUITE 102",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945207930",
            "telephone_number": "510-745-9151"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2730 Shadelands Dr Bldg 10",
            "address_purpose": "LOCATION",
            "city": "Walnut Creek",
            "state": "CA",
            "postal_code": "945982538",
            "country_code": "US",
            "telephone_number": "925-849-8999",
            "fax_number": "925-849-8966",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QUINTERO-LOWY",
        "first_name": "VANESSA",
        "middle_name": "ALEJANDRA",
        "name_prefix": "Ms.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-26",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": "D3519192",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY27583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, CA

Sources for this page

Verify at the official NPI Registry.