JAMES W QUILLIN, PHD, APPC (NPI# 1740568872) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740568872 |
| Entity Type | Organization |
| Organization Name | JAMES W QUILLIN, PHD, APPC |
| Practice Address |
1016 Calais Cir Alexandria LA 71303-2307 |
| Practice Telephone | 3184427355 |
| Practice Fax Number | 3184424407 |
| Mailing Telephone | 3184427355 |
| Mailing Fax Number | 3184424407 |
| Enumeration Date | 2011-07-22 |
| Last Update Date | 2014-11-26 |
| Authorized Official Name | DR. JAMES WESLEY QUILLIN (PRESIDENT) |
| Authorized Official Telephone | 3184427355 |
| Authorized Official Credential | PHD, MP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103G00000X | Clinical Neuropsychologist | 0318MP | LA | Behavioral Health & Social Service Providers |
| N | 103TP0016X |
Psychologist Specialization: Prescribing (Medical) |
0318MP | LA | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
2498 | LA | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
1288 | LA | Behavioral Health & Social Service Providers |
| N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
1288 | LA | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
0318 MP | LA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | BLUE CROSS | 437700719B | 01 |
| Street Address |
1016 CALAIS CIR |
| City | ALEXANDRIA |
| State | LA |
| Zip Code | 71303-2307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083637698 | James W. Quillin | Clinical Neuropsychologist | 1016 Calais Cir, Alexandria, LA 71303-2307 | 2006-07-25 |
| 1801248521 | Jennifer Quillin Andrus | Social Worker | 1016 Calais Cir, Alexandria, LA 71303-2307 | 2016-07-06 |
| 1255640041 | Lauren Drerup Stokes | Psychologist | 1016 Calais Cir, Alexandria, LA 71303-2307 | 2010-09-28 |
| 1235396474 | Paige Lemoine Quillin | Social Worker | 1016 Calais Cir, Alexandria, LA 71303-2307 | 2008-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346877370 | Victoria Bowie | Peer Specialist | 1405 Peterman Drive Suite A, Alexandria, LA 71303 | 2020-03-27 |
| 1396375051 | Christin Authement | Social Worker | 8326 Kelwood Avenue, Alexandria, LA 71303 | 2020-01-22 |
| 1164904520 | Carissa A Sorenson | Pharmacist | 4448 Jackson St, Alexandria, LA 71303 | 2018-09-02 |
| 1144731027 | Bradly Herman | Counselor | 1450 Peterman Drive, Alexandria, LA 71303 | 2017-10-18 |
| 1669991915 | Rashika Holmes | Counselor | 1538 Chase Dr, Alexandria, LA 71303 | 2017-09-18 |
| 1215466594 | Terraniecya Shepherd | Case Manager/Care Coordinator | 700 Veterans Dr. Apt. 608, Alexandria, LA 71303 | 2017-06-08 |
| 1427587864 | Jason Micheal Lachica | Counselor | 3921 Indpendence Drive Ste 104, Alexandria, LA 71303 | 2017-06-08 |
| 1669929188 | Ryan Knoll | Chiropractor | 5419 Jackson St. Ext. Suite B, Alexandria, LA 71303 | 2016-09-01 |
| 1023464393 | Heart of Hospice, LLC | Hospice Care, Community Based | 1001 Bayou Pl, Alexandria, LA 71303 | 2016-05-05 |
| 1770947764 | Jiquiah White | Counselor | 2016 Innis Dr, Alexandria, LA 71303 | 2016-04-06 |
| Find all providers in zip 71303 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548886674 | Anita L Boss | Psychologist | 1200 Prince St, Alexandria, VA 22314-2936 | 2020-06-24 |
| 1831722313 | Alexandria Therapy, LLC | Psychologist | 2210 Mount Vernon Ave Ste 204, Alexandria, VA 22301-1361 | 2020-02-12 |
| 1982236709 | Pivotal Psych Consultants | Psychologist | 500 N Washington St Ste 205, Alexandria, VA 22314-2314 | 2020-02-10 |
| 1992337273 | Jessica Mae Desalu | Psychologist | 205 S Whiting St Ste 312, Alexandria, VA 22304-3632 | 2020-02-05 |
| 1760948095 | Daniela Sosa-sarkar | Psychologist | 5500 Holmes Run Pkwy Ste C4, Alexandria, VA 22304-2860 | 2019-02-12 |
| 1326504739 | Sadie Doll | Psychologist | 5615k Jackson St, Alexandria, LA 71303-2592 | 2019-02-11 |
| 1972070894 | Ansari and Associates, LLC | Psychologist | 901 N Washington St Ste 601, Alexandria, VA 22314-1535 | 2018-10-29 |
| 1679040851 | Kathryn Ziemer | Psychologist | 1202 Prince St, Alexandria, VA 22314-2936 | 2018-10-25 |
| 1699259812 | Travis Drake Flower | Psychologist | 3412 Tennessee Dr, Alexandria, VA 22303-1225 | 2018-09-24 |
| 1720572076 | Michele Klopner | Psychologist | 3602 Forest Dr, Alexandria, VA 22302-1091 | 2018-06-20 |
| Find all providers in ALEXANDRIA | ||||
| City | ALEXANDRIA |
| Zip Code | 71303 |
Please comment or provide details below to improve the information on JAMES W QUILLIN, PHD, APPC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.