NPIMap

Organization Active NPI

Q1 Clinical Consultants, LLC

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Raleigh, NC
National Provider Identifier
1043698210
Registry record updated May 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
Q1 CLINICAL CONSULTANTS, LLC
Practice address
4323 Viewmont Dr
Raleigh, NC 27610-5327
Phone
(919) 303-5377
Fax
(919) 303-5380
NPI assigned
May 8, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Matisha Mae Hamilton, BA
Title
Ceo
Phone
(919) 303-5377

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Primary

Addresses

Primary practice location

4323 Viewmont Dr
Raleigh, NC 27610-5327

Mailing address

1011 W Williams St
Ste 102
Apex, NC 27502-3979
Phone (919) 303-5377

Other identifiers 1

IdentifierTypeStateIssuer
3418501MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Q1 Clinical Consultants LLC37 organizations share this tax ID, including this one

Other organizations with this tax ID 36

Organizations that report the same tax identification number in the National Provider Directory.

View all 36

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1431043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431043200000",
    "number": "1043698210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 W WILLIAMS ST",
            "address_2": "STE 102",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275023979",
            "telephone_number": "919-303-5377",
            "fax_number": "919-303-5380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4323 VIEWMONT DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276105327",
            "telephone_number": "919-303-5377",
            "fax_number": "919-303-5380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "Q1 CLINICAL CONSULTANTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-08",
        "last_updated": "2015-05-08",
        "status": "A",
        "authorized_official_last_name": "HAMILTON",
        "authorized_official_first_name": "MATISHA",
        "authorized_official_middle_name": "MAE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "919-303-5377",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BA"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3418501",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.