Quad Cities Mental Health

Primary specialty

Prescribing (Medical) PsychologistTaxonomy code 103TP0016X

License

336.042316 Issued in IL

Legal business name

QUAD CITIES MENTAL HEALTH

Practice address

4350 7TH St
Moline, IL 61265-6870

Phone

(309) 764-5040

Fax

(309) 764-9001

NPI assigned

Jan 26, 2017

Organization subpart

No

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

Authorized official

Name

Gonchigari Narayana, M.D.NPI 1124016902

Title

Owner

Phone

(309) 764-5040

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gonchigari Narayana, MD

  • Psychiatry Physician
  • Moline, IL
  • NPI 1124016902
  NPD (past) Authorized official

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

{
    "created_epoch": "1485388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485388800000",
    "number": "1679010771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4350 7TH ST",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612656870",
            "telephone_number": "309-764-5040",
            "fax_number": "309-764-9001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4350 7TH ST",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612656870",
            "telephone_number": "309-764-5040",
            "fax_number": "309-764-9001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUAD CITIES MENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-26",
        "last_updated": "2017-01-26",
        "status": "A",
        "authorized_official_last_name": "NARAYANA",
        "authorized_official_first_name": "GONCHIGARI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "309-764-5040",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "103TP0016X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Prescribing (Medical)",
            "state": "IL",
            "license": "336.042316",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IL",
            "license": "180.006915",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• QC Wellness Center, LLC
• Quad Cities Autism Center Inc.
• Quad Cities Eye Care, LLC
• Quad Cities Intervention Services
• Quad Cities Kidney Center, LTD.
• Quad Cities Nephrology Associates, P.L.C., LLC
• Quad Cities Pathologists, LLC
• Quad Cities Recovery & Counseling Center LLC
• Quad Cities Regenerative Medicine, LLC
• Quad Cities Wellness and Rehabilitation Center, LTD.

• Prescribing (Medical) Psychologist in Moline, IL
• Providers in Moline, IL by specialty
• Prescribing (Medical) Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2017; 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.