Queen City Behavioral Health and Wellness

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

QUEEN CITY BEHAVIORAL HEALTH AND WELLNESS

Practice address

3623 Latrobe Dr Ste 124
Charlotte, NC 28211-1172

Phone

(980) 236-8408

NPI assigned

Jul 21, 2021

Last updated

Jul 21, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. David D Gray, PHDNPI 1548830938

Title

Psychologist

Phone

(980) 236-8408

Specialties & licenses 1

Addresses

Locations

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.

• David Gray, PHD

  • Psychologist
  • Charlotte, NC
  • NPI 1548830938
  NPD Authorized official

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

{
    "created_epoch": "1626825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626825600000",
    "number": "1790358364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3623 LATROBE DR STE 124",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282111172",
            "telephone_number": "980-236-8408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3623 LATROBE DR STE 124",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282111172",
            "telephone_number": "980-236-8408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEEN CITY BEHAVIORAL HEALTH AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-21",
        "last_updated": "2021-07-21",
        "certification_date": "2021-07-21",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "980-236-8408",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renee Peta-Gae Quarrie, M.D.
• Elyse Quartini, PT
• Brittni Nicole Quattlebaum, PT, DPT
• Queen Charlotte Hair Replacement Center
• Queen City Al Holdings, LLC (The Crossings at Steele Creek)
• Queen City Care Home
• Queen City Cocoa Beans Inc
• Queen City Compassionate Home Care Agency LLC
• Queen City Counseling & Consulting, PLLC
• Queen City Diagnostics LLC

• Community/Behavioral Health Agency in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2021; 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.