Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mary Quattlebaum, PHD

Individual provider Clinical Psychologist · NPI 1376408146

Mary Quattlebaum, PHD is a Clinical Psychologist in New York, New York. Licensed in New York. Registered with an NPI since 2025.

Licensed in
NY
In the registry since
2025
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

20 E 88th St Apt 1C
New York, NY 10128-0518
Phone: (917) 423-6701
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence P140153 (NY)

Record details

NPI number1376408146
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorNo
NPI enumeratedDecember 23, 2025
Last updated in NPPESDecember 23, 2025
Certification dateDecember 23, 2025

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