Organization Active NPI

Quality Behavioral Interventions and Consulting, LLC

  • Community/Behavioral Health Agency
  • Cordova, TN
National Provider Identifier
1316258411
Registry record updated Jun 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
QUALITY BEHAVIORAL INTERVENTIONS AND CONSULTING, LLC
Practice address
1017 Cordova Ridge PL
Cordova, TN 38018-0103
Phone
(901) 282-5490
Fax
(901) 255-0619
NPI assigned
Jun 24, 2010
Last updated
Jun 24, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2010

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

Authorized official

Name
Mr. Cedric D Nelson, M.A. ED.
Title
Executive Director
Phone
(901) 282-5490

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1017 Cordova Ridge PL
Cordova, TN 38018-0103

Mailing address

1017 Cordova Ridge PL
Cordova, TN 38018-0103
Phone (901) 282-5490

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1277337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277337600000",
    "number": "1316258411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1017 CORDOVA RIDGE PL",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380180103",
            "telephone_number": "901-282-5490",
            "fax_number": "901-255-0619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1017 CORDOVA RIDGE PL",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380180103",
            "telephone_number": "901-282-5490",
            "fax_number": "901-255-0619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALITY BEHAVIORAL INTERVENTIONS AND CONSULTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-24",
        "last_updated": "2010-06-24",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "CEDRIC",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "901-282-5490",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.A. ED."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cordova, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2010; 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.