Active NPI
Memory Clinic LLC
- Multi-Specialty Clinic/Center
- Morganton, NC
National Provider Identifier
1780801233
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- 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 LLC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5904290 | Medicaid | NC |
Other names 1
- Memory Clinic LLC Carolina Medical and Psychiatric Associates
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.
-
- Psychiatry Physician
- Morganton, NC
- NPI 1023051422
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.