NPIMap

Organization Active NPI

Qualified Mental Health Professionals LLC

  • Community/Behavioral Health Agency
  • Raleigh, NC
National Provider Identifier
1659515989
Registry record updated Apr 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
QUALIFIED MENTAL HEALTH PROFESSIONALS LLC
Practice address
708 Hawes CT Apt a
Raleigh, NC 27608-1747
Phone
(919) 632-1039
NPI assigned
Apr 30, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2009

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

Authorized official

Name
Mr. David Lee Martin II
Title
Owner / Director
Phone
(919) 632-1039

Specialties & licenses 1

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

Addresses

Primary practice location

708 Hawes CT Apt a
Raleigh, NC 27608-1747

Mailing address

708 Hawes CT Apt a
Raleigh, NC 27608-1747
Phone (919) 632-1039

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1241049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241049600000",
    "number": "1659515989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 HAWES CT APT A",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276081747",
            "telephone_number": "919-632-1039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 HAWES CT APT A",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276081747",
            "telephone_number": "919-632-1039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALIFIED MENTAL HEALTH PROFESSIONALS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-30",
        "last_updated": "2009-04-30",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER / DIRECTOR",
        "authorized_official_telephone_number": "919-632-1039",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Apr 30, 2009; 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.