Jacqueline Quinn-Tan, PSY.D.
NPI 1518111996 · Clinical Psychologist · South Bend, IN
Enrolled with Medicare as Order and Referring Only - Clinical Psychologist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jacqueline Quinn-Tan, PSY.D. is a Clinical Psychologist provider in South Bend, IN (NPI 1518111996).
Provider details
- NPI number
- 1518111996
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- PSY.D.
- Sex
- Female
- Sole proprietor
- Yes
- License
- 20041167A (IN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2008-11-11
- Last updated
- 2021-08-25
- Certified
- 2021-08-25
Frequently asked questions
- What is Jacqueline Quinn-Tan's NPI number?
- Jacqueline Quinn-Tan's National Provider Identifier (NPI) is 1518111996, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jacqueline Quinn-Tan's specialty?
- Jacqueline Quinn-Tan is listed in the NPPES registry with a primary specialty of Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Jacqueline Quinn-Tan located?
- Jacqueline Quinn-Tan's practice location on file with NPPES is 1000 S Michigan St, South Bend, IN 46601-3426.
- What is Jacqueline Quinn-Tan's phone number?
- The practice phone number listed in the NPPES registry for Jacqueline Quinn-Tan is (574) 235-5408.
- Does Jacqueline Quinn-Tan accept Medicare?
- Jacqueline Quinn-Tan is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jacqueline Quinn-Tan's NPI active?
- Yes — Jacqueline Quinn-Tan's NPI (1518111996) is active in the NPPES registry as of the last update on 2021-08-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.