Individual provider Active NPI

Patrick Charles Quinn, PHD

  • Psychologist
  • Concord, NC
National Provider Identifier
1427021823
Registry record updated Dec 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
1586 Issued in NC
Practice address
37 Market St SW
Concord, NC 28025-5007
Phone
(704) 706-9218
Fax
(866) 607-0407
NPI assigned
Feb 8, 2006
Last updated
Dec 26, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 26, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 1586 NC Primary
Behavior Analyst 103K00000X 1-11-8160 NU

Addresses

Primary practice location

37 Market St SW
Concord, NC 28025-5007

Mailing address

166 Union St S
Concord, NC 28025-5047
Phone (704) 706-9218

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Http://www.behavheal.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20070728000033 NC Practitioner - Clinical Psychologist 6507967916 Practice locations: Concord, NC

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Health, PLLC CurrentSince Jan 1, 1990 Accepting new patients

Locations

37 Market St SW
Concord, NC 28025
Phone (704) 706-9218

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672012800000",
    "number": "1427021823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 UNION ST S",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280255047",
            "telephone_number": "704-706-9218",
            "fax_number": "866-607-0407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 MARKET ST SW",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280255007",
            "telephone_number": "704-706-9218",
            "fax_number": "866-607-0407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINN",
        "first_name": "PATRICK",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-08",
        "last_updated": "2022-12-26",
        "certification_date": "2022-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NC",
            "license": "1586",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": "1-11-8160",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Http://www.behavheal.com",
            "affiliation": "N",
            "address_1": "166 Union St S",
            "city": "Concord",
            "state": "NC",
            "country_code": "US",
            "postal_code": "280255047",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Concord, NC

Sources for this page

Verify at the official NPI Registry.