Active NPI
Janice Quintal, PHD
- Clinical Psychologist
- Plymouth, NH
National Provider Identifier
1992859375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 277
- Practice address
- 1 Warren St
Plymouth, NH 03264 - Phone
- (603) 536-4787
- NPI assigned
- Jan 22, 2007
- Sex
- Female
- 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 | 277 | NH | Primary |
| Clinical Psychologist | 103TC0700X | 784 | CT |
Addresses
Primary practice location
1 Warren St
Plymouth, NH 03264
Mailing address
1 Warren St
Plymouth, NH 03264
Phone (603) 536-4787
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 99908917 | Medicaid | NH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 784 | CT | MD | Clinical Psychologist |
| 277 | NH | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1992859375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 WARREN ST",
"city": "PLYMOUTH",
"state": "NH",
"postal_code": "03264",
"telephone_number": "603-536-4787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 WARREN ST",
"city": "PLYMOUTH",
"state": "NH",
"postal_code": "03264",
"telephone_number": "603-536-4787"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUINTAL",
"first_name": "JANICE",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NH",
"license": "277",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CT",
"license": "784",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "99908917",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Plymouth, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.