Individual provider Active NPI

Quinn David Olan Austin-Small, PH.D.

  • Forensic Psychologist
  • Troy, NY
National Provider Identifier
1740466895
Registry record updated Apr 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Forensic PsychologistTaxonomy code 103TF0200X
License
021191 Issued in NY
Practice address
255 River St Ste 3
Troy, NY 12180-3282
Phone
(518) 621-4757
NPI assigned
Jan 18, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Forensic Psychologist 103TF0200X PYL040403 ZZ
Forensic Psychologist 103TF0200X 021191 NY Primary
Clinical Psychologist 103TC0700X 4391 CT
Clinical Psychologist 103TC0700X PYL040403 ZZ

Addresses

Primary practice location

255 River St Ste 3
Troy, NY 12180-3282

Mailing address

279 Troy Rd Ste 9
Rensselaer, NY 12144-9499
Phone (518) 621-4757

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PYL040403ZZMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1200614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745798400000",
    "number": "1740466895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "279 TROY RD STE 9",
            "city": "RENSSELAER",
            "state": "NY",
            "postal_code": "121449499",
            "telephone_number": "518-621-4757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 RIVER ST STE 3",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121803282",
            "telephone_number": "518-621-4757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUSTIN-SMALL",
        "first_name": "QUINN",
        "middle_name": "DAVID OLAN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-18",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": "ZZ",
            "license": "PYL040403",
            "primary": false
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": "NY",
            "license": "021191",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CT",
            "license": "4391",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "ZZ",
            "license": "PYL040403",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.