Quyen DO, PH.D.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

178.020018 Issued in IL

Practice address

400 Blake St Apt 2105
New Haven, CT 06515-4411

Phone

(203) 903-4016

NPI assigned

Sep 12, 2024

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1726099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726099200000",
    "number": "1831925007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 BLAKE ST APT 2105",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065154411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 BLAKE ST APT 2105",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065154411",
            "telephone_number": "203-903-4016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DO",
        "first_name": "QUYEN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-12",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "178.020018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dixwell-Newhallville Community Mental Health Services, Inc.
• Dixwell/Newhallville Community Mental Health Services
• Dixwellnewhalville Community Mental Health
• Dmitry Ostro, Crna, PC
• Dna Genetics Lab, LLC
• Tina Thao DO, PHARMD
• Vincent DO, PHARMD
• Gurinderpal Doad, PHARMD
• Taylor Dobbeck, DMD
• Heather Dobbin

• Mental Health Counselor in New Haven, CT
• Providers in New Haven, CT by specialty
• Mental Health Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2024; 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.