MEDICARE: QUINN PSYCHOLOGICAL SERVICES, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1194695189
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	QUINN PSYCHOLOGICAL SERVICES, LLC

Provider Business Mailing Address
First Line	:	439 US ROUTE 1 STE A
Second Line	:
City	:	YORK
State	:	ME
Zip	:	03909-1638
Country	:	US
Telephone Number	:	207-671-4675
Fax Number	:

Provider Business Practice Location Address
First Line	:	171 WARREN AVE
Second Line	:
City	:	PORTLAND
State	:	ME
Zip	:	04103-1103
Country	:	US
Telephone Number	:	207-671-4675
Fax Number	:

Authorized Official
Title or Position	:	OWNER, PSYCHOLOGIST
Name	:	DR. KAITLIN QUINN
Credential	:	PSY.D.
Telephone Number	:	207-671-4675

Provider Enumeration Date	:	11/06/2025
Last Update Date	:	11/06/2025

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