Active NPI
Tanya Justyne Quille, PH.D.
- Psychologist
- Lutherville Timonium, MD
National Provider Identifier
1457684664
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 04599
- Practice address
- 2324 W Joppa Rd Ste 220
Lutherville Timonium, MD 21093-4618 - Phone
- (434) 770-3844
- Fax
- (410) 583-2949
- NPI assigned
- Sep 8, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 | 04599 | MD | Primary |
Addresses
Primary practice location
2324 W Joppa Rd Ste 220
Lutherville Timonium, MD 21093-4618
Mailing address
220 N Zapata Hwy Ste 11
75 MB
Laredo, TX 78043-4427
Phone (443) 477-0384
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04599 | MD | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1252368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672790400000",
"number": "1457684664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 N ZAPATA HWY STE 11",
"address_2": "75 MB",
"city": "LAREDO",
"state": "TX",
"postal_code": "780434427",
"telephone_number": "443-477-0384",
"fax_number": "410-583-2949"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2324 W JOPPA RD STE 220",
"city": "LUTHERVILLE TIMONIUM",
"state": "MD",
"postal_code": "210934618",
"telephone_number": "434-770-3844",
"fax_number": "410-583-2949"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUILLE",
"first_name": "TANYA",
"middle_name": "JUSTYNE",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-09-08",
"last_updated": "2023-01-04",
"certification_date": "2023-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MD",
"license": "04599",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lutherville Timonium, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.