Individual provider Active NPI

Ray A. Turner, PSY.D.

  • Clinical Psychologist
  • Memphis, TN
National Provider Identifier
1063482677
Registry record updated Oct 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
P1791 Issued in TN
Practice address
2701 Union Avenue Ext
Suite 516
Memphis, TN 38112-4400
Phone
(901) 323-5353
Fax
(901) 578-3534
NPI assigned
Jan 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X P1791 TN Primary

Addresses

Primary practice location

2701 Union Avenue Ext
Suite 516
Memphis, TN 38112-4400

Mailing address

2701 Union Avenue Ext
Suite 516
Memphis, TN 38112-4400
Phone (901) 323-5353

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051206000295 TN Practitioner - Clinical Psychologist 4880614155 Practice locations: Memphis, TN

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4646 Poplar Ave
Suite 419
Memphis, TN 38117-4434
Phone (901) 323-5353

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
P1791TNMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254355200000",
    "number": "1063482677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 UNION AVENUE EXT",
            "address_2": "SUITE 516",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381124400",
            "telephone_number": "901-323-5353",
            "fax_number": "901-578-3534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 UNION AVENUE EXT",
            "address_2": "SUITE 516",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381124400",
            "telephone_number": "901-323-5353",
            "fax_number": "901-578-3534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TURNER",
        "first_name": "RAY",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-25",
        "last_updated": "2009-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TN",
            "license": "P1791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.