Individual provider Active NPI

Alexis Quinoy, PHD

  • Clinical Child & Adolescent Psychologist
  • Atlanta, GA
National Provider Identifier
1477006773
Registry record updated Jun 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
License
PSY004029 Issued in GA
Practice address
993F Johnson Fy Rd NE
Suite 260
Atlanta, GA 30342-1602
Phone
(404) 785-3300
Fax
(404) 785-3270
NPI assigned
Aug 3, 2016
Last updated
Jun 6, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent Psychologist 103TC2200X PSY004029 GA Primary

Addresses

Primary practice location

993F Johnson Fy Rd NE
Suite 260
Atlanta, GA 30342-1602

Mailing address

993F Johnson Fy Rd NE
Suite 260
Atlanta, GA 30342-1602
Phone (404) 785-3300

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address choa@choa.gadirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20161006001665 GA Order and Referring Only - Clinical Psychologist 7911295928

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1470182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654473600000",
    "number": "1477006773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "993F JOHNSON FY RD NE",
            "address_2": "SUITE 260",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421602",
            "telephone_number": "404-785-3300",
            "fax_number": "404-785-3270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "993F JOHNSON FY RD NE",
            "address_2": "SUITE 260",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421602",
            "telephone_number": "404-785-3300",
            "fax_number": "404-785-3270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINOY",
        "first_name": "ALEXIS",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-03",
        "last_updated": "2022-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "GA",
            "license": "PSY004029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "choa@choa.gadirect.net",
            "affiliation": "N",
            "address_1": "993F Johnson Fy Rd NE",
            "address_2": "Suite 260",
            "city": "Atlanta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303421602",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.