NPIMap

Organization Active NPI

Q1 Clinical Consultants,LLC

  • Community/Behavioral Health Agency
  • Raleigh, NC
National Provider Identifier
1053745950
Registry record updated Aug 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
Q1 CLINICAL CONSULTANTS,LLC
Practice address
5209 Nautical LN
Raleigh, NC 27610-5380
Phone
(919) 303-5377
Fax
(919) 303-5380
NPI assigned
Aug 27, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2013

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
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

5209 Nautical LN
Raleigh, NC 27610-5380

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
3408501MedicaidNC

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": "1377561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377561600000",
    "number": "1053745950",
    "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": "5209 NAUTICAL LN",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276105380",
            "telephone_number": "919-303-5377",
            "fax_number": "919-303-5380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "Q1 CLINICAL CONSULTANTS,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-27",
        "last_updated": "2013-08-27",
        "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": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3408501",
            "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 Aug 27, 2013; 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.