Memphis Psychiatric and Addiction Clinic, PC

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

MEMPHIS PSYCHIATRIC AND ADDICTION CLINIC, PC

Practice address

3150 Lenox Park Blvd
Suite 214
Memphis, TN 38115-4299

Phone

(901) 273-2368

Fax

(901) 273-2351

NPI assigned

Mar 2, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Radwan R Khuri, MDNPI 1578530036

Title

Owner

Phone

(901) 273-2368

Specialties & licenses 1

Addresses

Tax ID family

Memphis Psychiatric and Addiction Clinic PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Memphis Psychiatric and Addiction Clinic, PC

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Memphis, TN
  • NPI 1235187949
  NPD tax ID

Practitioners 1

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

• Radwan R Khuri, MD

  • Psychiatry Physician
  • Memphis, TN
  • NPI 1578530036
  NPD Authorized official

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188172800000",
    "number": "1285762880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3150 LENOX PARK BLVD",
            "address_2": "SUITE 214",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381154299",
            "telephone_number": "901-273-2368",
            "fax_number": "901-273-2351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3150 LENOX PARK BLVD",
            "address_2": "SUITE 214",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381154299",
            "telephone_number": "901-273-2368",
            "fax_number": "901-273-2351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMPHIS PSYCHIATRIC AND ADDICTION CLINIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-02",
        "last_updated": "2007-08-27",
        "status": "A",
        "authorized_official_last_name": "KHURI",
        "authorized_official_first_name": "RADWAN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-273-2368",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Memphis Primary Care Associates, PLLC
• Memphis Primary Care Specialists
• Memphis Primary Care Specialists
• Memphis Professional Physician Staffing LLC
• Memphis Psychiatric and Addiction Clinic, PC
• Memphis Radiological, P.C.
• Memphis Radiological, P.C.
• Memphis Radiological, PC
• Memphis Recovery Centers, Inc.
• Memphis Refractive, LLC

• Psychologist in Memphis, TN
• Providers in Memphis, TN by specialty
• Psychologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.