NPIMap

Organization Active NPI

Q1 Clinical Consultants, LLC

  • Community/Behavioral Health Agency
  • Knightdale, NC
National Provider Identifier
1477948735
Registry record updated Apr 3, 2015
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
1408 Silver Valley Dr
Knightdale, NC 27545
Phone
(919) 303-5377
Fax
(919) 303-5380
NPI assigned
Apr 3, 2015
Organization subpart
No

Authorized official

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

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

Specialties & licenses 1

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

Addresses

NPPES NPI Registry

Primary practice location

1408 Silver Valley Dr
Knightdale, NC 27545

Mailing address

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

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
3418501MedicaidNC

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 3, 2015.

{
    "created_epoch": "1428019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428019200000",
    "number": "1477948735",
    "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": "1408 SILVER VALLEY DR",
            "city": "KNIGHTDALE",
            "state": "NC",
            "postal_code": "27545",
            "telephone_number": "919-303-5377",
            "fax_number": "919-303-5380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "Q1 CLINICAL CONSULTANTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-03",
        "last_updated": "2015-04-03",
        "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": "3418501",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knightdale, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 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.