CLR Mind Psychiatry, LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

CLR MIND PSYCHIATRY, LLC

Practice address

4466 Elvis Presley Blvd Ste 119
Memphis, TN 38116-7129

Phone

(901) 878-9147

NPI assigned

Oct 7, 2024

Organization subpart

No

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

Authorized official

Name

Marqueta Abraham, DNPNPI 1447641634

Title

Psychiatric Nurse Practitioner

Phone

(901) 878-9147

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marqueta V Abraham, DNP, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Bolivar, TN
  • NPI 1447641634
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1728259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740700800000",
    "number": "1144049024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4466 ELVIS PRESLEY BLVD STE 119",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381167129",
            "telephone_number": "901-878-9147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4466 ELVIS PRESLEY BLVD STE 119",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381167129",
            "telephone_number": "901-878-9147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLR MIND PSYCHIATRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-07",
        "last_updated": "2025-02-28",
        "certification_date": "2025-02-28",
        "status": "A",
        "authorized_official_last_name": "ABRAHAM",
        "authorized_official_first_name": "MARQUETA",
        "authorized_official_title_or_position": "PSYCHIATRIC NURSE PRACTITIONER",
        "authorized_official_telephone_number": "901-878-9147",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elmer Clorina
• James R Cloud
• Mariah Alyssa Cloud
• Jerry Steven Cloyd, DDS
• CLR Eyecare PLLC
• Clyde Rufus Smith, III
• Co-Med Health Care Services
• Stephanie Sanders Coady, RN, BSN,PHARMD
• Adam R Coates, D.C.
• Glynis C Coates, M.D.

• Psychiatric/Mental Health Nurse Practitioner in Memphis, TN
• Providers in Memphis, TN by specialty
• Psychiatric/Mental Health Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.