Individual provider Active NPI

Adrian Peter Quinn, PSYD

  • Psychologist
  • Wyomissing, PA
National Provider Identifier
1932519402
Registry record updated Apr 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS018511 Issued in PA
Practice address
220 N Park Rd BLDG 5
Wyomissing, PA 19610-2945
Phone
(610) 823-7799
NPI assigned
May 5, 2014
Last updated
Apr 30, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PS018511 PA Primary
Student in an Organized Health Care Education/Training Program 390200000X NU

Addresses

Primary practice location

220 N Park Rd BLDG 5
Wyomissing, PA 19610-2945

Mailing address

5026 Brook LN
Mohnton, PA 19540-7842
Phone (610) 777-1368

Other practice location 1

5026 Brook Ln
Mohnton, PA 19540-7842
Phone (610) 777-1368

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20180625002590 PA Practitioner - Clinical Psychologist 8729333208 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hearthfire Psychology, PLLCGroup PAC ID 5698187565, 12 clinicians

Practice addresses (Care Compare)

220 N Park Rd
BLDG 5
Wyomissing, PA 19610-2945
Phone (610) 823-7799

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hearthfire Psychology, PLLC Psychologist CurrentSince Aug 14, 2020 Accepting new patients

Locations

220 N Park Rd
Bldg 5
Wyomissing, PA 19610
Phone (610) 823-7799

4 Park Plz
Ste 302A
Wyomissing, PA 19610
Phone (610) 823-7799

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

NPI Registry JSON

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

{
    "created_epoch": "1399248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745971200000",
    "number": "1932519402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5026 BROOK LN",
            "city": "MOHNTON",
            "state": "PA",
            "postal_code": "195407842",
            "telephone_number": "610-777-1368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 N PARK RD BLDG 5",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196102945",
            "telephone_number": "610-823-7799"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5026 Brook Ln",
            "address_purpose": "LOCATION",
            "city": "Mohnton",
            "state": "PA",
            "postal_code": "195407842",
            "country_code": "US",
            "telephone_number": "610-777-1368",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QUINN",
        "first_name": "ADRIAN",
        "middle_name": "PETER",
        "name_prefix": "Mr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-05-05",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS018511",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyomissing, PA

Sources for this page

Verify at the official NPI Registry.