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MICHAEL JAMES QUINN
NPI 1063842557
Marriage & Family Therapist in Agoura Hills, CA

Active since November 19, 2013PECOS EnrolledAccepts Medicare Assignment
28035 DOROTHY DR, SUITE 110, AGOURA HILLS, CA 91301(310) 302-7230 Get Directions Write a Review

NPPES record last updated: November 11, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 11, 2021, Dec 28, 2016 (2 updates tracked since 2016).

About Michael James Quinn NPPES

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

MICHAEL JAMES QUINN (NPI 1063842557) is an individual marriage & family therapist in Agoura Hills, California, licensed in California (94188) and active in the NPI registry since November 2013. He is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1063842557
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameMICHAEL JAMES QUINN
Location Address28035 DOROTHY DR, SUITE 110Agoura Hills, CA 91301-2672
Mailing Address19025 Ingomar StReseda, CA 91335-1718 · (310) 302-7230
Phone(310) 302-7230
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateNovember 19, 2013
Last NPPES UpdateNovember 11, 20212 updates tracked since enumeration
NPPES CertifiedNovember 11, 2021
✔ NPI 1063842557 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 · 94188
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.
28035 DOROTHY DR, Agoura Hills, CA 91301
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Michael James Quinn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6002345162
PECOS Enrollment IDI20250120000235
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Michael Quinn reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group
8.8 mi
Health Maintenance Organization
5601 DE SOTO AVE
Woodland Hills, CA 91367
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group
NPI 1952333478 (818) 719-2000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 2

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

INFINITY MALIBU IOP
Substance Abuse Rehabilitation Facility
28035 DOROTHY DR
AGOURA, CA 91301
Los Angeles County (818) 916-8116
JULIE RIVERS AFFRONTI MFT
Marriage & Family Therapist
28035 DOROTHY DR, SUITE 120
AGOURA HILLS, CA 91301
Los Angeles County (818) 384-0101

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 Michael Quinn's NPI number?

The NPI number for Michael Quinn is 1063842557. It was assigned to this individual provider in the NPPES registry on November 19, 2013.

Where is Michael Quinn located?

Michael Quinn practices at 28035 Dorothy Dr Suite 110, Agoura Hills, CA 91301. The listed phone number is (310) 302-7230.

What is Michael Quinn's specialty?

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

Is Michael Quinn enrolled in Medicare?

Yes. Michael Quinn is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Michael Quinn's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Quinn reassigns Medicare benefits to Southern California Permanente Medical Group (Woodland Hills, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michael Quinn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Michael Quinn was last updated on November 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.