Active NPI
Melissa Yahaira De Jesus Quinn, M.D.
- Psychiatry Physician
- San Antonio, TX
National Provider Identifier
1467518100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- N4011
- Practice address
- 16019 Via Shavano
San Antonio, TX 78249-2370 - Phone
- (210) 696-9292
- Fax
- (210) 690-8815
- NPI assigned
- Dec 28, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MT187089 | PA | |
| Psychiatry Physician | 2084P0800X | N4011 | TX | Primary |
Addresses
Primary practice location
16019 Via Shavano
San Antonio, TX 78249-2370
Mailing address
16019 Via Shavano
San Antonio, TX 78249-2370
Phone (210) 696-9292
Other names 1
- Melissa Yahaira Quinn
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Mar 6, 2020 through Mar 6, 2028
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Perelman School of Med at the University of Pennsylvania, 2005
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
16019 Via Shavano
San Antonio, TX 78249-2370
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT187089 | PA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375747200000",
"number": "1467518100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16019 VIA SHAVANO",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782492370",
"telephone_number": "210-696-9292",
"fax_number": "210-690-8815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16019 VIA SHAVANO",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782492370",
"telephone_number": "210-696-9292",
"fax_number": "210-690-8815"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE JESUS QUINN",
"first_name": "MELISSA",
"middle_name": "YAHAIRA",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-28",
"last_updated": "2013-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "PA",
"license": "MT187089",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TX",
"license": "N4011",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MELISSA",
"last_name": "QUINN",
"middle_name": "YAHAIRA",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- 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.