Individual provider Active NPI

Eric Quintin, PSY.D.

  • Clinical Psychologist
  • Montpelier, VT
National Provider Identifier
1972359834
Registry record updated Apr 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
048.0135061 Issued in VT
Practice address
9 Heaton St
Montpelier, VT 05602-2489
Phone
(802) 223-6328
Fax
(802) 229-8004
NPI assigned
Apr 30, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 048.0135061 VT Primary

Addresses

Primary practice location

9 Heaton St
Montpelier, VT 05602-2489

Mailing address

PO Box 647
Montpelier, VT 05601-0647
Phone (802) 223-6328

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
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
I20240524001185 VT Practitioner - Clinical Psychologist 2769824564 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Washington County Mental Health Services, Inc. CurrentSince Apr 30, 2024 Accepting new patients
Washington County Mental Health Services, Inc. Clinical CurrentSince Apr 30, 2024 Accepting new patients

Locations

174 Hospital Loop
Berlin, VT 05602
Phone (802) 223-6328

9 Heaton St
Montpelier, VT 05602
Phone (802) 223-6238

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1714435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714435200000",
    "number": "1972359834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 647",
            "city": "MONTPELIER",
            "state": "VT",
            "postal_code": "056010647",
            "telephone_number": "802-223-6328",
            "fax_number": "802-229-8004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 HEATON ST",
            "city": "MONTPELIER",
            "state": "VT",
            "postal_code": "056022489",
            "telephone_number": "802-223-6328",
            "fax_number": "802-229-8004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINTIN",
        "first_name": "ERIC",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-04-30",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VT",
            "license": "048.0135061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montpelier, VT

Sources for this page

Verify at the official NPI Registry.