KIRA QUINN
NPI 1629395504
Psychologist in Mill Valley, CA

Active since April 30, 2010PECOS Enrolled
45 CAMINO ALTO STE 201B, MILL VALLEY, CA 94941(415) 871-1389 Get Directions Write a Review

NPPES record last updated: February 5, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 5, 2025, Feb 6, 2023, Apr 12, 2017 (3 updates tracked since 2017).

About Kira Quinn NPPES

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

KIRA QUINN (NPI 1629395504) is an individual psychologist in Mill Valley, California, licensed in California (33980) and active in the NPI registry since April 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629395504
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameKIRA QUINN
Location Address45 CAMINO ALTO STE 201BMill Valley, CA 94941-2935
Mailing Address610 Steiner St Apt 3San Francisco, CA 94117-2530 · (415) 871-1389
Sole ProprietorNo
Enumeration DateApril 30, 2010
Last NPPES UpdateFebruary 5, 20253 updates tracked since enumeration
NPPES CertifiedFebruary 5, 2025
✔ NPI 1629395504 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License✔ Licensed in CA · 33980
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
45 CAMINO ALTO STE 201B, Mill Valley, CA 94941

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kira Quinn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Kira Quinn reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinical
2431 W MARCH LN STE 200
Stockton, CA 95207
  • Reassigned Medicare billing, California enrollment
  • 29 clinicians in this Medicare group

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

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 Kira Quinn's NPI number?

The NPI number for Kira Quinn is 1629395504. It was assigned to this individual provider in the NPPES registry on April 30, 2010.

Where is Kira Quinn located?

Kira Quinn practices at 45 Camino Alto Ste 201B, Mill Valley, CA 94941. The listed phone number is (415) 871-1389.

What is Kira Quinn's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Kira Quinn enrolled in Medicare?

Yes. Kira Quinn is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kira Quinn's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kira Quinn reassigns Medicare benefits to An Elegant Sufficiency, A Psychological Corporation (Stockton, 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 Kira 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 Kira Quinn was last updated on February 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.