Individual provider Active NPI

Anna Maria MC Quinn, PH.D

  • Psychologist
  • San Carlos, CA
National Provider Identifier
1639400310
Registry record updated Jan 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY12098 Issued in CA
Practice address
1395 San Carlos Ave
Suite C
San Carlos, CA 94070-2388
Phone
(650) 508-1942
Fax
(650) 593-5902
NPI assigned
Jan 20, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 20, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY12098 CA Primary
Marriage & Family Therapist 106H00000X MFT25684 CA

Addresses

Primary practice location

1395 San Carlos Ave
Suite C
San Carlos, CA 94070-2388

Mailing address

1395 San Carlos Ave
Suitec
San Carlos, CA 94070
Phone (650) 508-1942

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jul 30, 2025 through Jul 30, 2027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PSY12098CAMDPsychologist
MFT25684CAMDMarriage & Family Therapist
12098CAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1263945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263945600000",
    "number": "1639400310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1395 SAN CARLOS AVE",
            "address_2": "SUITEC",
            "city": "SAN CARLOS",
            "state": "CA",
            "postal_code": "94070",
            "telephone_number": "650-508-1942",
            "fax_number": "650-593-5902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1395 SAN CARLOS AVE",
            "address_2": "SUITE C",
            "city": "SAN CARLOS",
            "state": "CA",
            "postal_code": "940702388",
            "telephone_number": "650-508-1942",
            "fax_number": "650-593-5902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MC QUINN",
        "first_name": "ANNA",
        "middle_name": "MARIA",
        "name_prefix": "Dr.",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-20",
        "last_updated": "2010-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY12098",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFT25684",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Carlos, CA

Sources for this page

Verify at the official NPI Registry.