Kimberly Quirk, PSYD

Primary specialty

School PsychologistTaxonomy code 103TS0200X

License

PS009092L Issued in PA

Practice address

3740 W 26TH St
Erie, PA 16506-2039

Phone

(814) 835-5334

NPI assigned

Jun 3, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Millcreek Township School District

  • Local Education Agency (LEA)
  • Erie, PA
  • NPI 1366496713
  NPD (past)

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

{
    "created_epoch": "1464912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475193600000",
    "number": "1750730404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 CALIFORNIA DR",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165052117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3740 W 26TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165062039",
            "telephone_number": "814-835-5334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUIRK",
        "first_name": "KIMBERLY",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-03",
        "last_updated": "2016-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "PA",
            "license": "PS009092L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Richard Quigley, MD
• Cory Quinlan, MD
• Abigail Quinn, MS, OTR/L
• Lana J Quinn, RDH, PHDH
• Lisa P Quinn, CRNP
• Erin Elizabeth Quivey, D.M.D.
• R & B Bennett Enterprises, Inc
• Ashley Marie Rabell, OTR/L
• Carlos Julio Racedo Africano, MD
• Erica Racedo

• School Psychologist in Erie, PA
• Providers in Erie, PA by specialty
• School Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2016; 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.