Active NPI
Anna Maria MC Quinn, PH.D
- Psychologist
- San Carlos, CA
National Provider Identifier
1639400310
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY12098
- 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
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 |
|---|---|---|---|---|
| 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
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| PSY12098 | CA | MD | Psychologist |
| MFT25684 | CA | MD | Marriage & Family Therapist |
| 12098 | CA | MD | Acupuncturist |
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2010; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.