Active NPI
Patrick Charles Quinn, PHD
- Psychologist
- Concord, NC
National Provider Identifier
1427021823
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 1586
- 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, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Behavioral Health, PLLC | Current | 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Concord, NC
- NPI 1376868471
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
- Q.B Unique in Home Care Inc. (Unique In Home care)
- QC Cooperative Housing LLC (QC Cooperative)
- Zachary Colton Quezada Miller
- Jazmyn Quick
- Gary R. Quigg, M.D.
- Robert Patel Quinn, M.D.
- Rebecca Qureshi, NP
- Katarzyna Anna Qutermous, MSN, CNL, FNP-C
- R. Bailey, Jr, DMD, PA (Carolina Dental Specialists)
- R.O.C.K. Formations Unlimited Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.