Organization Active NPI

Memphis Psychiatry, PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Cordova, TN
National Provider Identifier
1659134906
Registry record updated May 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
MEMPHIS PSYCHIATRY, PLLC
Practice address
1088 Rogers Rd
Cordova, TN 38018-8546
Phone
(901) 277-9494
NPI assigned
Jan 31, 2024
Last updated
May 31, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2024

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

Authorized official

Name
Mr. Uthappa Thammaiah Mukatira, PHDNPI 1336519925
Title
Owner
Phone
(901) 277-9494

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

1088 Rogers Rd
Cordova, TN 38018-8546

Mailing address

1088 Rogers Rd
Cordova, TN 38018-8546
Phone (901) 277-9494

Other names 1

  • Memphis Psychiatry Other name

National Provider Directory

National Provider Directory

Locations

1088 Rogers Rd
Cordova, TN 38018
Phone (901) 755-1396

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1706659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717113600000",
    "number": "1659134906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1088 ROGERS RD",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380188546",
            "telephone_number": "901-277-9494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1088 ROGERS RD",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380188546",
            "telephone_number": "901-277-9494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMPHIS PSYCHIATRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-31",
        "last_updated": "2024-05-31",
        "certification_date": "2024-05-31",
        "status": "A",
        "authorized_official_last_name": "MUKATIRA",
        "authorized_official_first_name": "UTHAPPA",
        "authorized_official_middle_name": "THAMMAIAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-277-9494",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHD"
    },
    "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": [
        {
            "organization_name": "Memphis Psychiatry",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Memphis Psychiatry",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Cordova, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2024; 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.