G Bruce Quinn, PH.D.

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFC18011 Issued in CA

Practice address

550 Main St
Suite 2 C
Diamond Springs, CA 95619-9177

Phone

(530) 622-8646

Fax

(530) 642-0339

NPI assigned

Sep 4, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• G. (Gary) Bruce Quinn Other name

Medicare fee-for-service enrollment

Enrolled in CA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1157328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740355200000",
    "number": "1598867004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 MAIN ST",
            "address_2": "SUITE 2 C",
            "city": "DIAMOND SPRINGS",
            "state": "CA",
            "postal_code": "956199177",
            "telephone_number": "530-622-8646",
            "fax_number": "530-642-0339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 MAIN ST",
            "address_2": "SUITE 2 C",
            "city": "DIAMOND SPRINGS",
            "state": "CA",
            "postal_code": "956199177",
            "telephone_number": "530-622-8646",
            "fax_number": "530-642-0339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINN",
        "first_name": "G BRUCE",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-04",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC18011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "G. (GARY)",
            "last_name": "QUINN",
            "middle_name": "BRUCE",
            "credential": "PH.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Samantha Pollotta
• Teri Prather
• Robert Edward Price, M.D.
• Melissa Lorraine Prophet
• John Bruce Quantrille
• Jazmin Ramirez
• Brandy Rebolledo
• Russell Reed
• Carlie Regan
• Elsa Renteria

• Marriage & Family Therapist in Diamond Springs, CA
• Providers in Diamond Springs, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2025; 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.

Verify at the official NPI Registry.