1. Home
  2. Directory
  3. California
  4. San Diego
  5. Marriage Family Therapist
  6. NPI Profile

DR. MARY MUDD QUINN LMFT
NPI 1013077767
Marriage & Family Therapist in San Diego, CA

Active since December 11, 2006Opted out of Medicare · through Dec 21, 2027
3990 OLD TOWN AVE, SUITE 209A, SAN DIEGO, CA 92110(619) 294-9180(619) 298-9151 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Mary Mudd Quinn Lmft NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARY MUDD QUINN LMFT (NPI 1013077767) is an individual marriage & family therapist in San Diego, California, licensed in California (MFT016556) and active in the NPI registry since December 2006. She has opted out of Medicare through December 21, 2027.

NPPES Registry Identity

NPI1013077767
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameDR. MARY MUDD QUINNCredential: LMFT
Location Address3990 OLD TOWN AVE, SUITE 209ASan Diego, CA 92110-2930
Mailing Address3990 Old Town Ave, Suite 209aSan Diego, CA 92110-2930 · (619) 294-9180 · Fax (619) 298-9151
Phone(619) 294-9180
Fax(619) 298-9151
Sole ProprietorNo
Enumeration DateDecember 11, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1013077767 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · MFT016556
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
3990 OLD TOWN AVE, San Diego, CA 92110
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Mary Mudd Quinn Lmft has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 21, 2023 through December 21, 2027.

Opt-Out Effective DateDecember 21, 2023
Opt-Out In Effect ThroughDecember 21, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. JILL KATHLEEN DODGE LCSW
Social Worker
3990 OLD TOWN AVE, STE 209A
SAN DIEGO, CA 92110
San Diego County (619) 615-5065
JAMES C DILLARD DR CHIROPRACTIC CORPORATION
Chiropractor
3990 OLD TOWN AVE, STE A-105
SAN DIEGO, CA 92110
San Diego County (619) 260-8580
HEATHER JEAN SERAFIN ACSW
Social Worker (Clinical)
3990 OLD TOWN AVE
SAN DIEGO, CA 92110
San Diego County (619) 278-2400
ELIZABETH ANN HEWES
Counselor (Mental Health)
3990 OLD TOWN AVE, C107
SAN DIEGO, CA 92110
San Diego County (619) 688-1804
MS. PATRIZIA I SPIGA MFT
Marriage & Family Therapist
3990 OLD TOWN AVE, SUITE A207
SAN DIEGO, CA 92110
San Diego County (619) 255-0042
JAY JANKOWSKY
Counselor (Mental Health)
3990 OLD TOWN AVE
SAN DIEGO, CA 92110
San Diego County (619) 688-1804
MISS ALEXANDRA SHAW LAC
Acupuncturist
3990 OLD TOWN AVE, STE B107
SAN DIEGO, CA 92110
San Diego County (713) 870-7157
DR. SAURABH GUPTA PH.D.
Clinical Neuropsychologist
3990 OLD TOWN AVE, STE. A-208
SAN DIEGO, CA 92110
San Diego County (619) 537-9345

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Quinn's NPI number?

The NPI number for Mary Quinn is 1013077767. It was assigned to this individual provider in the NPPES registry on December 11, 2006.

Where is Mary Quinn located?

Mary Quinn practices at 3990 Old Town Ave Suite 209A, San Diego, CA 92110. The listed phone number is (619) 294-9180.

What is Mary Quinn's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Mary Quinn enrolled in Medicare?

No. Mary Quinn has opted out of Medicare through December 21, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Mary Quinn was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.