Individual provider Active NPI

Karen J Quinn, PH.D.

  • Clinical Psychologist
  • Newton, IA
National Provider Identifier
1831426378
Registry record updated Mar 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
001280 Issued in IA
Practice address
501 W 3Rd St N
Newton, IA 50208-3022
Phone
(641) 275-9276
NPI assigned
Nov 4, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 001280 IA Primary

Addresses

Primary practice location

501 W 3Rd St N
Newton, IA 50208-3022

Mailing address

711 S 2ND Ave W
Newton, IA 50208-3621
Phone (641) 275-9276

Other practice location 1

24511 W Jayne Ave
Coalinga, CA 93210-9503
Phone (559) 935-4300 ext. 3097

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130711000755 IA Practitioner - Clinical Psychologist 4486795176 Practice locations: Newton, IA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

501 W 3Rd St N
Newton, IA 50208-3022
Phone (641) 275-9276

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
001280IAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Interpersonal Effectiveness, PC PastSince Mar 16, 2021 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1257292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615420800000",
    "number": "1831426378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 S 2ND AVE W",
            "city": "NEWTON",
            "state": "IA",
            "postal_code": "502083621",
            "telephone_number": "641-275-9276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 W 3RD ST N",
            "city": "NEWTON",
            "state": "IA",
            "postal_code": "502083022",
            "telephone_number": "641-275-9276"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24511 W Jayne Ave",
            "address_purpose": "LOCATION",
            "city": "Coalinga",
            "state": "CA",
            "postal_code": "932109503",
            "country_code": "US",
            "telephone_number": "559-935-4300 x3097",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QUINN",
        "first_name": "KAREN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-04",
        "last_updated": "2021-03-11",
        "certification_date": "2021-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IA",
            "license": "001280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, IA

Sources for this page

Verify at the official NPI Registry.