Individual provider Active NPI

Kristy Marie Quackenbush Orr, PSYD

  • Psychologist
  • Ocala, FL
National Provider Identifier
1275908790
Registry record updated Jan 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY9422 Issued in FL
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

Updated by the provider on Jan 28, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230417001583 NY Practitioner - Clinical Psychologist 2466757802 Reassigns benefits to 1 organization

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
Albany Medical CollegeGroup PAC ID 1759293111, 1,054 clinicians

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 100Reported as group
Quality
77.53
Promoting interoperability
100
Improvement activities
40
Cost
76.35

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PY9422FLMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Albany Medical College CurrentSince Apr 1, 2023 Accepting new patients
Albany Medical College Psychologist CurrentSince Apr 1, 2023 Accepting new patients
Albany Medical College CurrentSince Apr 1, 2023 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.

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

Verify at the official NPI Registry.