Quad City Psychotherapy, PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

QUAD CITY PSYCHOTHERAPY, PLLC

Practice address

2513 24TH St
Rock Island, IL 61201-5305

Phone

(309) 235-8767

NPI assigned

Nov 12, 2019

Organization subpart

No

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

Authorized official

Name

Mrs. Annika O'Melia, LCSWNPI 1861767022

Title

Owner

Phone

(309) 235-8767

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Practitioners 1

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

• Annika Kristine Omelia, LISW

  • Clinical Social Worker
  • Davenport, IA
  • NPI 1861767022
  NPD Authorized official

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

{
    "created_epoch": "1573516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573516800000",
    "number": "1689219826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 MIDDLE RD STE 300",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527223287",
            "telephone_number": "563-265-1529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2513 24TH ST",
            "city": "ROCK ISLAND",
            "state": "IL",
            "postal_code": "612015305",
            "telephone_number": "309-235-8767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUAD CITY PSYCHOTHERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-12",
        "last_updated": "2019-11-12",
        "status": "A",
        "authorized_official_last_name": "O'MELIA",
        "authorized_official_first_name": "ANNIKA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "309-235-8767",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "annika@qcpsychotherapy.com",
            "affiliation": "N",
            "endpointDescription": "email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "2513 24th St",
            "city": "Rock Island",
            "state": "IL",
            "country_code": "US",
            "postal_code": "612015305",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• QC Dui Services
• Quad Cities Kidney Center Rock Island, LLC
• Quad City Behavioral Health Associates, PLLC
• Quad City Orthodontic Group, LLC
• Quad City Prosthetic Inc
• Quad City Rheumatology SC
• Quest Diagnostics LLC
• Allyson Chantell Quick, LPN
• Narayanswamy V Rama Prabhu, MD
• Carrey Ramey

• Clinical Social Worker in Rock Island, IL
• Providers in Rock Island, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2019; 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.