MEDICARE: QUALITY PSYCH CONSULT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1275221343
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	QUALITY PSYCH CONSULT

Provider Business Mailing Address
First Line	:	2333 MORRIS AVE STE C202
Second Line	:
City	:	UNION
State	:	NJ
Zip	:	07083-5747
Country	:	US
Telephone Number	:	862-218-4492
Fax Number	:

Provider Business Practice Location Address
First Line	:	2333 MORRIS AVE STE C202
Second Line	:
City	:	UNION
State	:	NJ
Zip	:	07083-5747
Country	:	US
Telephone Number	:	862-218-4492
Fax Number	:

Authorized Official
Title or Position	:	PMHNP-BC
Name	:	ELAINE QUAYE
Credential	:	APN
Telephone Number	:	862-218-4492

Provider Enumeration Date	:	04/26/2023
Last Update Date	:	04/26/2023

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Directions to “QUALITY PSYCH CONSULT ” Practice Location

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