Organization Active NPI

QGB Therapy LLC

  • Adult Mental Health Clinic/Center
  • Oakland, CA
National Provider Identifier
1780305839
Registry record updated Dec 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
QGB THERAPY LLC
Practice address
3630 High St
Oakland, CA 94619-6099
Phone
(737) 900-3680
NPI assigned
Sep 7, 2022
Last updated
Dec 2, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2024

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

Authorized official

Name
Dr. Quintin Bailey, PSYDNPI 1770065138
Title
Owner
Phone
(737) 900-3680

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

3630 High St
Oakland, CA 94619-6099

Mailing address

2715 Viola St
Oakland, CA 94619-1064

National Provider Directory

National Provider Directory

Locations

8400 N Mopac Expy
Ste 302
Austin, TX 78759
Phone (512) 213-2388

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1662508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733097600000",
    "number": "1780305839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2715 VIOLA ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946191064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3630 HIGH ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946196099",
            "telephone_number": "737-900-3680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QGB THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-07",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "QUINTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "737-900-3680",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2024; 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.