Organization Active NPI

Memory Clinic LLC

  • Multi-Specialty Clinic/Center
  • Morganton, NC
National Provider Identifier
1780801233
Registry record updated Apr 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
MEMORY CLINIC LLC
Practice address
207 Queen St
Morganton, NC 28655-3341
Phone
(828) 439-6085
Fax
(828) 438-8777
NPI assigned
Apr 19, 2007
Organization subpart
Yes
Parent organization
MEMORY CLINIC LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 24, 2008

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

207 Queen St
Morganton, NC 28655-3341

Mailing address

207 Queen St
Morganton, NC 28655-3341
Phone (828) 439-6085

Other identifiers 1

IdentifierTypeStateIssuer
5904290MedicaidNC

Other names 1

  • Memory Clinic LLC Carolina Medical and Psychiatric Associates Doing business as

National Provider Directory

National Provider Directory
Part of
Memory Clinic LLC

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208995200000",
    "number": "1780801233",
    "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": "828-439-6085",
            "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": "828-439-6085",
            "fax_number": "828-438-8777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORY CLINIC LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEMORY CLINIC LLC",
        "enumeration_date": "2007-04-19",
        "last_updated": "2008-04-24",
        "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": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5904290",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Memory Clinic LLC Carolina Medical and Psychiatric Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Morganton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.

Verify at the official NPI Registry.