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Deactivated NPI 1548783475 Deactivated / Inactive NPI Female Practitioner

Jun Qi , LPA

Psychologist • Roanoke Rapids, NC

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Jun Qi has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 23, 2017
NPI Deactivation Date December 05, 2017
Total Practice Duration ~1 Years of Practice (2017 – 2017)

Professional Overview & Biography Verified Profile Summary

Jun Qi, LPA was a registered Psychologist practicing in Roanoke Rapids, NC. Throughout an active medical career spanning 1 years, Jun Qi provided care at the practice location at 600 JACKSON STREET until profile deactivation on 2017-12-05.

Practice Location & Contact Primary Location

Practice Address

600 Jackson Street
B

Roanoke Rapids, NC 27870

Telephone 9199960053

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Roanoke Rapids, NC

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 25.2 Yrs
Regional Practice Density
7 Specialists

Practicing in Roanoke Rapids, NC (1760 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
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Updated Practice Location April 24, 2018

Registered at 600 JACKSON STREET, B, ROANOKE RAPIDS, NC 27870 (Tel: (919) 996-0053)

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Updated Business Mailing Address April 24, 2018

Registered at 600 JACKSON STREET, B, ROANOKE RAPIDS, NC 27870

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Provider Name / Credentials Updated April 24, 2018

Recorded as JUN QI, LPA

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 24, 2018

Psychologist

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NPI Profile Deactivated December 05, 2017

Record deactivated on December 05, 2017

NPI Profile Active July 23, 2017

NPI status registered as active in NPPES database

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Updated Practice Location July 23, 2017

Registered at 103 RAPHAEL DR, CARY, NC 275116015 (Tel: (919) 996-0053)

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Updated Business Mailing Address July 23, 2017

Registered at 2401 WOOTEN BOULEVARD, SUITE K, WILSON, NC 27893

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Provider Name / Credentials Updated July 23, 2017

Recorded as JUN QI

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 23, 2017

Psychologist

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Initial NPI Registration & Enumeration July 23, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1548783475
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 23, 2017
Last Update: July 21, 2022
Deactivation Date: December 05, 2017
Sole Proprietor: Yes

Mailing Address

600 Jackson Street, B

Roanoke Rapids, NC 27870

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.