Active NPI
Kristy Marie Quackenbush Orr, PSYD
- Psychologist
- Ocala, FL
National Provider Identifier
1275908790
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PY9422
- Practice address
- 3305 SW 34TH Cir
Suite 101
Ocala, FL 34474-6616 - Phone
- (800) 346-8677
- NPI assigned
- Dec 9, 2015
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | PY9422 | FL | Primary |
Addresses
Primary practice location
3305 SW 34TH Cir
Suite 101
Ocala, FL 34474-6616
Mailing address
3305 SW 34TH Cir
Suite 101
Ocala, FL 34474-6616
Other names 1
- Dr. Kristy Marie Quackenbush
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
47 New Scotland Ave
Albany, NY 12208-3412
Phone (518) 262-5633
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.78 of 100
- Quality
- 77.53
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.35
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY9422 | FL | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Albany Medical College | Current | Accepting new patients | |
| Albany Medical College | Psychologist | Current | Accepting new patients |
| Albany Medical College | Current | Accepting new patients |
Locations
47 New Scotland Ave
Albany, NY 12208
Phone (518) 262-3773
1275 Broadway
Menands, NY 12204
Phone (518) 262-9705
Organizations & group practices 3
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.
-
- Allergy & Immunology Physician
- Albany, NY
- NPI 1497921688
-
- Urgent Care Clinic/Center
- Albany, NY
- NPI 1386038925
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1449619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453939200000",
"number": "1275908790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3305 SW 34TH CIR",
"address_2": "SUITE 101",
"city": "OCALA",
"state": "FL",
"postal_code": "344746616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3305 SW 34TH CIR",
"address_2": "SUITE 101",
"city": "OCALA",
"state": "FL",
"postal_code": "344746616",
"telephone_number": "800-346-8677"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUACKENBUSH ORR",
"first_name": "KRISTY",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-12-09",
"last_updated": "2016-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "FL",
"license": "PY9422",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KRISTY",
"last_name": "QUACKENBUSH",
"middle_name": "MARIE",
"prefix": "DR.",
"credential": "PSYD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Ocala, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.