Active NPI
Teri Quatman, PH.D.
- Psychoanalysis Psychologist
- San Jose, CA
National Provider Identifier
1780891788
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychoanalysis Psychologist
- License
- PSY12737
- Practice address
- 419 Bundy Ave.
San Jose, CA 95117-1642 - Phone
- (408) 261-0500
- Fax
- (408) 261-0505
- NPI assigned
- May 17, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychoanalysis Psychologist | 103TP0814X | PSY12737 | CA | Primary |
Addresses
Primary practice location
419 Bundy Ave.
San Jose, CA 95117-1642
Mailing address
419 Bundy Ave
San Jose, CA 95117-1642
Phone (408) 261-0505
Other names 1
- Dr. Teri Quatman
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Dec 23, 2023 through Dec 23, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY12737 | CA | MD | Psychoanalysis Psychologist |
| 12737 | CA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1780891788",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "419 BUNDY AVE",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951171642",
"telephone_number": "408-261-0505",
"fax_number": "408-261-0500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "419 BUNDY AVE.",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951171642",
"telephone_number": "408-261-0500",
"fax_number": "408-261-0505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUATMAN",
"first_name": "TERI",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TP0814X",
"taxonomy_group": "",
"desc": "Psychologist, Psychoanalysis",
"state": "CA",
"license": "PSY12737",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TERI",
"last_name": "QUATMAN",
"prefix": "DR.",
"credential": "TERI QUATMAN",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.