Active NPI
Scott Lyon Quinby, PH.D.
- Clinical Psychologist
- London, OH
National Provider Identifier
1902213564
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 4657
- Practice address
- 1851 State Route 56
Madison Correctional Institution
London, OH 43140 - Phone
- (740) 852-9777
- Fax
- (740) 852-3666
- NPI assigned
- Jul 16, 2014
- Sex
- Male
- Sole proprietor
- No
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 | 4657 | OH | Primary |
Addresses
Primary practice location
1851 State Route 56
Madison Correctional Institution
London, OH 43140
Mailing address
PO Box 740 1851 State Route 56
Madison Correctional Institution
London, OH 43140
Phone (740) 852-9777
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4657 | OH | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405468800000",
"number": "1902213564",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 740 1851 STATE ROUTE 56",
"address_2": "MADISON CORRECTIONAL INSTITUTION",
"city": "LONDON",
"state": "OH",
"postal_code": "43140",
"telephone_number": "740-852-9777",
"fax_number": "740-852-3666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1851 STATE ROUTE 56",
"address_2": "MADISON CORRECTIONAL INSTITUTION",
"city": "LONDON",
"state": "OH",
"postal_code": "43140",
"telephone_number": "740-852-9777",
"fax_number": "740-852-3666"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUINBY",
"first_name": "SCOTT",
"middle_name": "LYON",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-07-16",
"last_updated": "2014-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "OH",
"license": "4657",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in London, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.