Doreen Quinn

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

BH001354 Issued in PA

Practice address

551 E Station Ave
Coopersburg, PA 18036-2027

Phone

(484) 863-9220

Fax

(610) 465-8611

NPI assigned

Feb 26, 2016

Last updated

Feb 26, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Valley Family Therapeutics

  • Rehabilitation Clinic/Center
  • Coopersburg, PA
  • NPI 1710314935
  NPD (past)
• Valley Family Therapeutics, LLC

  • Multi-Specialty Clinic/Center
  • Coopersburg, PA
  • NPI 1518336668
  NPD (past)

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

{
    "created_epoch": "1456444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456444800000",
    "number": "1831559327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "551 E STATION AVE",
            "city": "COOPERSBURG",
            "state": "PA",
            "postal_code": "180362027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "551 E STATION AVE",
            "city": "COOPERSBURG",
            "state": "PA",
            "postal_code": "180362027",
            "telephone_number": "484-863-9220",
            "fax_number": "610-465-8611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINN",
        "first_name": "DOREEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-26",
        "last_updated": "2016-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "PA",
            "license": "BH001354",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "21776440",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shailesh H. Patel, RPH
• Pennsylvania CVS Pharmacy, L.L.C. (CVS Pharmacy #01093)
• Laura Phillips
• Kimberly Poehlmann, DPT
• Susan Michelle Probasco, OTRL
• Stacy K Rademacher Vance, PH.D.
• Jacquie Sue Rademacher, RN
• Stacy Rawling, MS,OTR/L
• Raymond Kowalcyk, PH.D.
• Sarah Rice Glezman, OTR/L

• Behavior Analyst in Coopersburg, PA
• Providers in Coopersburg, PA by specialty
• Behavior Analyst in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.