QUAD CITIES MENTAL HEALTH (NPI# 1679010771) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679010771 |
| Entity Type | Organization |
| Organization Name | QUAD CITIES MENTAL HEALTH |
| Practice Address |
4350 7th St Moline IL 61265-6870 |
| Practice Telephone | 3097645040 |
| Practice Fax Number | 3097649001 |
| Mailing Telephone | 3097645040 |
| Mailing Fax Number | 3097649001 |
| Enumeration Date | 2017-01-26 |
| Last Update Date | 2017-01-26 |
| Authorized Official Name | GONCHIGARI NARAYANA (OWNER) |
| Authorized Official Telephone | 3097645040 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | 180.006915 | IL | Agencies |
| Y | 103TP0016X |
Psychologist Specialization: Prescribing (Medical) |
336.042316 | IL | Behavioral Health & Social Service Providers |
| Street Address |
4350 7TH ST |
| City | MOLINE |
| State | IL |
| Zip Code | 61265-6870 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184617995 | Ralph Saintfort | Psychiatry & Neurology | 4350 7th St, Suite D, Moline, IL 61265 | 2005-08-26 |
| 1386003358 | Carley Mccloud | Nurse Practitioner | 4350 7th St, Moline, IL 61265-6870 | 2016-02-18 |
| 1073895942 | Bhranti Kurani | Case Manager/Care Coordinator | 4350 7th St, Ste B, Moline, IL 61265-6890 | 2011-09-15 |
| 1063794188 | Jai Swaminarayan Inc | Family Medicine | 4350 7th St, Ste B, Moline, IL 61265-6890 | 2011-09-14 |
| 1992902969 | Neurosurgery Consultants Sc | Neurological Surgery | 4350 7th St, Unit E, Moline, IL 61265-6870 | 2007-07-02 |
| 1528276169 | Foot First Podiatry Centers, V.p.c. | Podiatrist | 4350 7th St, Moline, IL 61265-6870 | 2007-05-18 |
| 1508838848 | Ilesh Amratlal Kurani | Family Medicine | 4350 7th St, Ste B, Moline, IL 61265-6890 | 2006-02-02 |
| 1528058807 | Navinchandra Dadhaniya | Internal Medicine | 4350 7th St, Moline, IL 61265 | 2005-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861035438 | Ora Orthopedics, PC | Orthopaedic Surgery | 510 Valley View Drive, Moline, IL 61265 | 2019-10-25 |
| 1598231698 | Secure Dental Vi | Dentist | 106 16th St, Unit #90, Moline, IL 61265 | 2018-10-17 |
| 1487152088 | Fjellheim P.c | Chiropractor | 1535 47th Avenue, Suite 5, Moline, IL 61265 | 2018-01-29 |
| 1326567199 | Elizabeth Ann Teichler | Respiratory Therapist, Registered | 4360 7th Street, Moline, IL 61265 | 2017-09-13 |
| 1497279913 | Caroline M Mather | Behavioral Analyst | 2430 6th Avenue, Moline, IL 61265 | 2017-07-26 |
| 1639625239 | Elizabeth Anderson | Nurse's Aide | 4319 26th Ave Apt 1, Moline, IL 61265 | 2016-09-01 |
| 1437604154 | Lindsey Bollaert | Nurse Practitioner | 1100 36th Ave, Moline, IL 61265 | 2016-08-23 |
| 1437541869 | Divvymed, LLC | Pharmacy | 4300 44th Ave, Moline, IL 61265 | 2015-02-23 |
| 1477955250 | Todd Stone | Nurse Practitioner | 1100 3th Avenue, Moline, IL 61265 | 2014-09-23 |
| 1588084479 | Familia Dental Moline LLC | Dentist | 1102 4th Ave, Moline, IL 61265 | 2014-04-18 |
| Find all providers in zip 61265 | ||||
| Taxonomy Code | 103TP0016X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Prescribing (Medical) |
| Those licensed psychologists who have completed specialized, post-doctoral training in psychopharmacology, passed a national proficiency examination in psychopharmacology, and who are authorized by state statute to prescribe medications, in accordance with their state law and state licensing authority, for the evaluation, diagnosis, management and treatment of mental, nervous, emotional, behavioral, and related disorders. |
| Notes: Source: Louisiana Academy of Medical Psychologists Note: Some states issue licenses under Medical Psychologist. [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174739122 | Gretchen L. Cromer, Md PC | Psychologist | 3302 41st St, Moline, IL 61265-7830 | 2007-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891237434 | Wylie & Associates Behavioral Health LLC | Psychologist | 118 S Seminary St, Collinsville, IL 62234-2634 | 2016-11-14 |
| 1104341999 | Clarity Clinic Arlington Heights, LLC | Psychologist | 2101 S Arlington Heights Rd Ste 116, Arlington Heights, IL 60005-4142 | 2017-08-14 |
| 1215330022 | Accessmydoc Inc | Psychologist | 1900 E Golf Rd, Suite 950, Schaumburg, IL 60173-5834 | 2014-10-07 |
| 1831511690 | The Chicago Integrative Center for Psychiatry LLC | Psychologist | 900 North Shore Dr, Suite 120, Lake Bluff, IL 60044-2243 | 2014-01-14 |
| 1083841076 | Aeries Healthcare of Illinois Physician Group | Psychologist | 8311 W Roosevelt Rd, Forest Park, IL 60130 | 2009-06-17 |
| 1548408586 | Meryl Lipton | Psychologist | 4711 Golf Rd, Suite 1100, Skokie, IL 60076-1224 | 2009-01-29 |
| 1558539387 | Nehal Psychiatric Group, Inc | Psychologist | 7425 Janes Ave, Suite 200, Woodridge, IL 60517-2356 | 2008-02-14 |
| 1679772479 | Miroslaw Walo, Md Sc | Psychologist | 4905 Old Orchard Ctr, Ste 428, Skokie, IL 60077-1458 | 2007-07-12 |
| 1447472493 | Richard P Weber Psy.d. | Psychologist | 1105 W Park Ave, Suite 2, Libertyville, IL 60048-2567 | 2007-05-02 |
| 1992923304 | Rush North Shore Pain Center | Psychologist | 9701 Knox Ave, Suite 103, Skokie, IL 60076-1256 | 2007-04-23 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.