Thomas Grant Quinlan, PSY.D.

Primary specialty

Adult Development & Aging PsychologistTaxonomy code 103TA0700X

Practice address

300 2ND Ave South East
#83
Saint Petersburg, FL 33701-2023

Phone

(727) 906-6185

NPI assigned

Oct 9, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Clinical Psychologist

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Luminara Vindi LLC

  • Adult Development & Aging Psychologist
  • Saint Petersburg, FL
  • NPI 1619417250
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700179200000",
    "number": "1356539837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 2ND AVE SOUTH EAST",
            "address_2": "#83",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337012023",
            "telephone_number": "727-906-6185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 2ND AVE SOUTH EAST",
            "address_2": "#83",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337012023",
            "telephone_number": "727-906-6185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINLAN",
        "first_name": "THOMAS",
        "middle_name": "GRANT",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-09",
        "last_updated": "2023-11-17",
        "certification_date": "2023-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TA0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Adult Development & Aging",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PSY7593",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "FL",
            "license": "7593",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martin Mark Quigley, MD
• Patricia D. Quigley, M.D.
• Samantha Marie Quigley, RPH, PHARMD
• Arlene Serrano Quijano, PA
• Thomas Edward Quillin II, DDS
• Zoe R Quinn-Kelly, PA-C
• Erin Quinn
• Lissette Quinones, MS
• Sean Spencer Quinonez, DO
• Daniela Quintana, PA-C

• Adult Development & Aging Psychologist in Saint Petersburg, FL
• Providers in Saint Petersburg, FL by specialty
• Adult Development & Aging Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2023; 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.

Verify at the official NPI Registry.