NPIMap

Organization Active NPI

Q1 Clinical Consultants,LLC

  • Community/Behavioral Health Agency
  • Raleigh, NC
National Provider Identifier
1295168045
Registry record updated Aug 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
1619153954 Issued in NC
Legal business name
Q1 CLINICAL CONSULTANTS,LLC
Practice address
2304 Havering PL
Raleigh, NC 27604-0803
Phone
(919) 855-9214
NPI assigned
Aug 15, 2013
Last updated
Aug 15, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 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 1619153954 NC Primary

Addresses

Primary practice location

2304 Havering PL
Raleigh, NC 27604-0803

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": "1376524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376524800000",
    "number": "1295168045",
    "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": "2304 HAVERING PL",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276040803",
            "telephone_number": "919-855-9214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "Q1 CLINICAL CONSULTANTS,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-15",
        "last_updated": "2013-08-15",
        "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": "NC",
            "license": "1619153954",
            "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 15, 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.