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MARY QUATTLEBAUM PHD
NPI 1376408146
Psychologist - Clinical in New York, NY

Active since December 23, 2025
20 E 88TH ST APT 1C, NEW YORK, NY 10128(917) 423-6701 Get Directions Write a Review

NPPES record last updated: December 23, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mary Quattlebaum Phd NPPES

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

MARY QUATTLEBAUM PHD (NPI 1376408146) is an individual clinical provider in New York, New York, licensed in New York (P140153) and active in the NPI registry since December 2025.

NPPES Registry Identity

NPI1376408146
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameMARY QUATTLEBAUMCredential: PHD
Location Address20 E 88TH ST APT 1CNew York, NY 10128-0518
Mailing Address1207 N St Nw Apt CWashington, DC 20005-5108
Phone(917) 423-6701
Sole ProprietorNo
Enumeration DateDecember 23, 2025
NPPES CertifiedDecember 23, 2025
✔ NPI 1376408146 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in NY · P140153
Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

20 E 88TH ST APT 1C, New York, NY 10128
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Frequently Asked Questions

What is Mary Quattlebaum's NPI number?

The NPI number assigned to this healthcare provider is 1376408146, enumerated as an "individual" on December 23, 2025.

Where is the provider located?

The provider is located at 20 E 88TH ST APT 1C NEW YORK, NY 10128 and the phone number is (917) 423-6701.

What is the provider's specialty?

Psychologist with taxonomy code 103TC0700X and a focus in Clinical.