MEMORY CLINIC LLC (NPI# 1780801233) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780801233 |
| Entity Type | Organization |
| Organization Name | MEMORY CLINIC LLC |
| Other Organization Name | MEMORY CLINIC LLC CAROLINA MEDICAL AND PSYCHIATRIC ASSOCIATES |
| Practice Address |
207 Queen St Morganton NC 28655-3341 |
| Practice Telephone | 8284396085 |
| Practice Fax Number | 8284388777 |
| Mailing Telephone | 8284396085 |
| Mailing Fax Number | 8284378212 |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2008-04-24 |
| Authorized Official Name | DR. KURIAN C ABRAHAM (OWNER) |
| Authorized Official Telephone | 8284396025 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | MEMORY CLINIC LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 5904290 | 05 |
| Other Name | Type Code |
|---|---|
| Memory Clinic LLC Carolina Medical and Psychiatric Associates | Doing Business As Name - Organization |
| Street Address |
207 QUEEN ST |
| City | MORGANTON |
| State | NC |
| Zip Code | 28655-3341 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740272111 | Amy Susan Brooks | Oral & Maxillofacial Surgery | 207 Queen St, Morganton, NC 28655-3341 | 2005-08-22 |
| 1073174892 | Christen Glenn | Social Worker | 207 Queen St, Morganton, NC 28655-3341 | 2019-06-24 |
| 1245791748 | Kristen Hartley | Counselor | 207 Queen St, Morganton, NC 28655-3341 | 2019-03-27 |
| 1780187831 | Stephanie Lynn Wilcox | Counselor | 207 Queen St, Morganton, NC 28655-3341 | 2018-03-15 |
| 1497258859 | Candice Heiskell-cook | Counselor | 207 Queen St, Morganton, NC 28655-3341 | 2018-03-13 |
| 1508364829 | Jessica Marie Wiles-williamson | Counselor | 207 Queen St, Morganton, NC 28655-3341 | 2018-02-01 |
| 1740790070 | April Diane Hillquist | Social Worker | 207 Queen St, Morganton, NC 28655-3341 | 2017-09-29 |
| 1720501851 | Savannah Jean Englebach | Counselor | 207 Queen St, Morganton, NC 28655-3341 | 2017-07-20 |
| 1063947430 | Marlys Ruth Kiser | Counselor | 207 Queen St, Morganton, NC 28655-3341 | 2017-04-24 |
| 1356896153 | Tiffany English | Counselor | 207 Queen St, Morganton, NC 28655-3341 | 2016-08-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043811128 | Foothills Family Dermatology | Dermatology | 118 North Sterling St, Morganton, NC 28655 | 2020-11-04 |
| 1225678071 | Melissa Marie Sisco | Psychologist | Broughton State Hospital, 1000 S. Sterling Street, Morganton, NC 28655 | 2020-01-09 |
| 1043864598 | Stout Scripts, Inc. | Pharmacy | 200 West Fleming Dr, Morganton, NC 28655 | 2019-08-01 |
| 1538626015 | Morganton Opco Holdings, LLC | Assisted Living Facility | 330 Juniper St, Morganton, NC 28655 | 2019-02-21 |
| 1982174843 | Katie Breeze Heald Dds PC | Dentist | 679 W. Fleming Dr., Morganton, NC 28655 | 2018-12-04 |
| 1104317353 | Dr Liner Ward & Shobe Dds Pa | Dentist | 503 S. Green Street, Morganton, NC 28655 | 2018-05-23 |
| 1578069779 | Catawba Valley Medical Servies | Speech-Language Pathologist | 409b S Sterling St, Morganton, NC 28655 | 2018-04-05 |
| 1336685601 | Clear Perspective, LLC | Counselor | 140 Beach Street, Morganton, NC 28655 | 2017-01-11 |
| 1245604800 | Burke Integrated Health | Family Medicine | 350 East Parker Road, Morganton, NC 28655 | 2015-11-19 |
| 1881079929 | Legacy Healthcare Services, Inc | General Acute Care Hospital | 4263 Bill Dale Rd, Morganton, NC 28655 | 2015-07-29 |
| Find all providers in zip 28655 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790087021 | Focus Behavioral Health Services | Clinic/Center | 207 Queen St, Morganton, NC 28655-3341 | 2010-11-18 |
| 1386791796 | J Iverson Riddle Developmental Center | Clinic/Center | 300 Enola Rd, Morganton, NC 28655-4608 | 2007-01-05 |
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| 1801424171 | Recover Together, Inc. | Clinic/Center | 59 Haywood Office Park Ste 2, Waynesville, NC 28785-6998 | 2020-03-31 |
| 1891330056 | Veritas Collaborative Charlotte, LLC | Clinic/Center | 1900 Scott Ave Ste 101, Charlotte, NC 28203-6046 | 2019-11-12 |
| 1770135808 | American Family Care Fuquay Pllc | Clinic/Center | 1298 N Main St, Fuquay Varina, NC 27526-2615 | 2019-07-09 |
| 1508424029 | Shelly Renea Obasoluyi | Clinic/Center | 403 Atwell Dr, Fayetteville, NC 28314-0122 | 2019-05-30 |
| 1215593819 | Wilmington Health Pllc | Clinic/Center | 1811 Tiburon Dr, Wilmington, NC 28403-6254 | 2019-05-20 |
| 1003472804 | Loginclinics, Pllc | Clinic/Center | 1324 Reservoir View Ln, Wake Forest, NC 27587-1836 | 2019-05-16 |
| 1124586060 | Bethany Christian Services of Nc | Clinic/Center | 1110 Navaho Dr Ste 109, Raleigh, NC 27609-7352 | 2019-03-11 |
| 1548740038 | Hillsborough Community Urgent Care | Clinic/Center | 110 Boone Square St Ste 29a, Hillsborough, NC 27278-2665 | 2018-08-15 |
| 1679079537 | Carter Clinic, Pa | Clinic/Center | 260 1st Ave Nw Ste 215, Hickory, NC 28601-6161 | 2018-03-31 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.