Active NPI
Stuart Walter Quirk, PH.D.
- Clinical Psychologist
- Cincinnati, OH
National Provider Identifier
1962648337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- P.09024
- Practice address
- 1612 Cooper St
Cincinnati, OH 45223-2616 - Phone
- (989) 854-6486
- Fax
- (864) 428-2275
- NPI assigned
- Jan 6, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | P.09024 | OH | Primary |
| Clinical Psychologist | 103TC0700X | 1461 | SC |
Addresses
Primary practice location
1612 Cooper St
Cincinnati, OH 45223-2616
Mailing address
1612 Cooper St
Cincinnati, OH 45223-2616
Phone (989) 854-6486
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P.09024 | Other | OH | STATE LICENSE |
| 1461 | Other | SC | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240221001592 | SC | Practitioner - Psychologist Billing Independently | 6002250768 | Practice locations: Spartanburg, SC |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
181 Riverrun Dr
Spartanburg, SC 29303-6406
Phone (864) 310-7252
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231200000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788998400000",
"number": "1962648337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1612 COOPER ST",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452232616",
"telephone_number": "989-854-6486",
"fax_number": "864-428-2275"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1612 COOPER ST",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452232616",
"telephone_number": "989-854-6486",
"fax_number": "864-428-2275"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUIRK",
"first_name": "STUART",
"middle_name": "WALTER",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-01-06",
"last_updated": "2026-09-10",
"certification_date": "2026-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "OH",
"license": "P.09024",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "SC",
"license": "1461",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "P.09024",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "1461",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.