Active NPI
Gail M. Quick, PH. D.
- Clinical Psychologist
- Richmond, VA
National Provider Identifier
1790727352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 0810001669
- Practice address
- 2008 Bremo Rd Ste 103
Richmond, VA 23226-2443 - Phone
- (804) 223-0566
- NPI assigned
- Jun 11, 2006
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 0810001669 | VA | Primary |
Addresses
Primary practice location
2008 Bremo Rd Ste 103
Richmond, VA 23226-2443
Mailing address
134 Mosswood CT
North Chesterfield, VA 23236-2801
Phone (804) 677-9673
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 007705182 | Medicaid | VA | |
| 175985 | Other | VA | COMPSYCH PROVIDER NUMBER |
| 110372 | Other | VA | ANTHEM PROVIDER NUMBER |
| 80262 | Other | VA | SENTARA PROVIDER NUMBER |
| 254568000 | Other | VA | MAGELLAN PROVIDER NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jul 1, 2024 through Jul 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149984000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709078400000",
"number": "1790727352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "134 MOSSWOOD CT",
"city": "NORTH CHESTERFIELD",
"state": "VA",
"postal_code": "232362801",
"telephone_number": "804-677-9673"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2008 BREMO RD STE 103",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232262443",
"telephone_number": "804-223-0566"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUICK",
"first_name": "GAIL",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "PH. D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-11",
"last_updated": "2024-02-28",
"certification_date": "2024-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "VA",
"license": "0810001669",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "007705182",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMPSYCH PROVIDER NUMBER",
"identifier": "175985",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PROVIDER NUMBER",
"identifier": "110372",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SENTARA PROVIDER NUMBER",
"identifier": "80262",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN PROVIDER NUMBER",
"identifier": "254568000",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2024; 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.