Individual provider Active NPI

Rosalind Mashay Graham, LMFT

  • Marriage & Family Therapist
  • Memphis, TN
National Provider Identifier
1902044266
Registry record updated Apr 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMT0000000886 Issued in TN
Practice address
2506 Mount Moriah Rd
BLDG. B. Ste. 413
Memphis, TN 38115-1511
Phone
(901) 217-1947
Fax
(901) 842-9391
NPI assigned
Jan 25, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2012

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MT2308 FL
Marriage & Family Therapist 106H00000X LMT0000000886 TN Primary
Marriage & Family Therapist 106H00000X M1008006 AR

Addresses

Primary practice location

2506 Mount Moriah Rd
BLDG. B. Ste. 413
Memphis, TN 38115-1511

Mailing address

PO Box 383184
BLDG. B. Suite 413
Germantown, TN 38183-3184
Phone (901) 502-3464

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
M1008006ARMDMarriage & Family Therapist
MT2308FLMDMarriage & Family Therapist
LMT0000000886TNMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1232841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335139200000",
    "number": "1902044266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 383184",
            "address_2": "BLDG. B. SUITE 413",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381833184",
            "telephone_number": "901-502-3464",
            "fax_number": "901-842-9391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2506 MOUNT MORIAH RD",
            "address_2": "BLDG. B. STE. 413",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381151511",
            "telephone_number": "901-217-1947",
            "fax_number": "901-842-9391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "ROSALIND",
        "middle_name": "MASHAY",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-25",
        "last_updated": "2012-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT2308",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TN",
            "license": "LMT0000000886",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "AR",
            "license": "M1008006",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2012; 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.