Active NPI
Memory Clinic, LLC
- Psychiatry Physician
- Morganton, NC
National Provider Identifier
1023051422
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- MEMORY CLINIC, LLC
- Practice address
- 207 Queen St
Morganton, NC 28655-3341 - Phone
- (828) 439-6025
- Fax
- (828) 437-8212
- NPI assigned
- Jun 14, 2006
- Last updated
- May 29, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kurian C Abraham, MD
- Title
- Owner
- Phone
- (828) 439-6025
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | NU | ||
| Psychiatry Physician | 2084P0800X | NU | Primary |
Addresses
Primary practice location
207 Queen St
Morganton, NC 28655-3341
Mailing address
207 Queen St
Morganton, NC 28655-3341
Phone (828) 437-6025
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5904290 | Medicaid | NC |
National Provider Directory
National Provider DirectoryOwnership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
dba Memory Clinic LLC Carolina Medical and Psychiatric Associates
- Multi-Specialty Clinic/Center
- Morganton, NC
- NPI 1780801233
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1212019200000",
"number": "1023051422",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "207 QUEEN ST",
"city": "MORGANTON",
"state": "NC",
"postal_code": "286553341",
"telephone_number": "828-437-6025",
"fax_number": "828-437-8212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "207 QUEEN ST",
"city": "MORGANTON",
"state": "NC",
"postal_code": "286553341",
"telephone_number": "828-439-6025",
"fax_number": "828-437-8212"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEMORY CLINIC, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-14",
"last_updated": "2008-05-29",
"status": "A",
"authorized_official_last_name": "ABRAHAM",
"authorized_official_first_name": "KURIAN",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "828-439-6025",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5904290",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Morganton, NC
- Medical Alliance Clinic, PLLC
- Medical Heights OB-GYN, PA
- Rudy Tom Medina, MD
- Thomas E Meek II, DO
- Memory Clinic LLC (Memory Clinic LLC Carolina Medical and Psychiatric Associates)
- Francia Yessenia Mendez
- Jeffrey Brian Mercer, PHARM D.
- Metro Treatment of North Carolina L P (New Season Morgantown Treatment Center)
- Metro Treatment of North Carolina, LP (New Season Morganton Treatment Center)
- MH Mission Imaging, LLLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.