Organization Active NPI

Q Psychology Group, a Psychological Corporation

  • Clinical Psychologist
  • Redondo Beach, CA
National Provider Identifier
1649733866
Registry record updated Dec 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
Q PSYCHOLOGY GROUP, A PSYCHOLOGICAL CORPORATION
Practice address
225 Avenue I Ste 204
Redondo Beach, CA 90277-5608
Phone
(424) 903-6520
NPI assigned
Apr 14, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2022

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

Authorized official

Name
Dr. Crystal L Quarry, PSYDNPI 1558708834
Title
Owner/Licensed Psychologist
Phone
(424) 903-6520

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

225 Avenue I Ste 204
Redondo Beach, CA 90277-5608

Mailing address

225 Avenue I Ste 204
Redondo Beach, CA 90277-5608

Other practice location 1

23332 Hawthorne Blvd Ste 304
Torrance, CA 90505-4457
Phone (424) 903-6520

Other practice location 2

1230 Rosecrans Ave Ste 204
Manhattan Beach, CA 90266-2477
Phone (424) 903-6520

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230117002888 CA Part B Supplier - Clinic/Group Practice 4284005935 Receives reassigned benefits from 4 practitioners
Practice locations: Manhattan Beach, CA; Redondo Beach, CA; Torrance, CA

National Provider Directory

National Provider Directory

Locations

1230 Rosecrans Ave
Ste 204
Manhattan Beach, CA 90266
Phone (424) 903-6520

23332 Hawthorne Blvd
Ste 304
Torrance, CA 90505
Phone (424) 903-6520

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1555200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670371200000",
    "number": "1649733866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 AVENUE I STE 204",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902775608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 AVENUE I STE 204",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902775608",
            "telephone_number": "424-903-6520"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23332 Hawthorne Blvd Ste 304",
            "address_purpose": "LOCATION",
            "city": "Torrance",
            "state": "CA",
            "postal_code": "905054457",
            "country_code": "US",
            "telephone_number": "424-903-6520",
            "fax_number": "424-772-6993",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1230 Rosecrans Ave Ste 204",
            "address_purpose": "LOCATION",
            "city": "Manhattan Beach",
            "state": "CA",
            "postal_code": "902662477",
            "country_code": "US",
            "telephone_number": "424-903-6520",
            "fax_number": "424-772-6993",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "Q PSYCHOLOGY GROUP, A PSYCHOLOGICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-14",
        "last_updated": "2022-12-07",
        "certification_date": "2022-12-07",
        "status": "A",
        "authorized_official_last_name": "QUARRY",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "424-903-6520",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redondo Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.