Mario A Quintanilla, MD

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

F1201 Issued in TX

Practice address

5151 Flynn Pkwy Ste 307
Corpus Christi, TX 78411-4384

Phone

(361) 993-4835

Fax

(361) 993-7043

NPI assigned

Mar 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

Other, 1970

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Total MD Physicians Group, PLLCGroup PAC ID 7012313521, 127 clinicians

Holly Psychiatric Clinic PLLCGroup PAC ID 9537554456, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mario.quintanilla@hpc.eclinicaldirectplus.com

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.

• Holly Psychiatric Clinic PLLC

  • Psychiatry Physician
  • Corpus Christi, TX
  • NPI 1518465079
  Medicare reassignment Care Compare group NPD Authorized official
• Total MD Physicians Group, PLLC

  dba Total Behavioral Health

  • Family Medicine Physician
  • Austin, TX
  • NPI 1982031852
  Medicare reassignment Care Compare group NPD
• Border Region MH Mr Community Center

  • Psychiatry Physician
  • Laredo, TX
  • NPI 1124060173
  Medicare reassignment NPD
• Gulf Bend Mental Health Mental Retardation Center

  dba Gulf Bend Center

  • Professional Counselor
  • Victoria, TX
  • NPI 1467434399

  Psychiatry

  Medicare reassignment NPD
• Gulf Coast Behavioral Clinic LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Corpus Christi, TX
  • NPI 1104206226
  Medicare reassignment NPD
• Family and Child Guidance Centers

  dba Child and Family Guidance Centers

  • Mental Health Counselor
  • Dallas, TX
  • NPI 1811062367
  Medicare reassignment
• Mario a. Quintanilla MD, PLLC

  • Clinical Neuropsychologist
  • Corpus Christi, TX
  • NPI 1508146622
  NPD (past) Authorized official
• Citizens Medical Center County of Victoria

  • General Acute Care Hospital
  • Victoria, TX
  • NPI 1124052162
  NPD (past)

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

{
    "created_epoch": "1142812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732233600000",
    "number": "1871552729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5151 FLYNN PKWY STE 307",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784114384",
            "telephone_number": "361-993-4835",
            "fax_number": "361-993-7043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5151 FLYNN PKWY STE 307",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784114384",
            "telephone_number": "361-993-4835",
            "fax_number": "361-993-7043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINTANILLA",
        "first_name": "MARIO",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-20",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "F1201",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "TX",
            "license": "F1201",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS TX",
            "identifier": "8FT501",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "139788728",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Barbie Lou C Quino
• Alissette Ynez Quinones, RN
• Jesse Jay Quintana
• Carmela Prado Quintanilla, LCSW
• Jesus Quintanilla, DC
• Shelly Marie Quintanilla, NP
• Delia M Quisenberry, M.D.
• Annie Quysner
• R Garza, O.D., P.a. (Corpus Christi Family Eye Center)
• R. Bryan Gulley DDS PLLC

• Child & Adolescent Psychiatry Physician in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Child & Adolescent Psychiatry Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.