NICHOLAS ERIC RAY MAT
NPI 1104415801
Clinic/Center - Developmental Disabilities in Germantown, TN

Q: What is Nicholas Ray's NPI number?

The NPI number for Nicholas Ray is 1104415801. It was assigned to this individual provider in the NPPES registry on January 16, 2021.

Q: What is Nicholas Ray's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Developmental Disabilities, with taxonomy code 261QD1600X.

Q: When was this NPI record last updated?

The NPPES record for Nicholas Ray was last updated on January 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 16, 2021

1507 POPLAR ESTATES PKWY, GERMANTOWN, TN 38138(901) 828-1146 Get Directions Write a Review

NPPES record last updated: January 16, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Nicholas Eric Ray Mat NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICHOLAS ERIC RAY MAT (NPI 1104415801) is an individual developmental disabilities provider in Germantown, Tennessee, licensed in Tennessee (200004323) and active in the NPI registry since January 2021.

NPPES Registry Identity

NPI1104415801

Entity TypeIndividualMale

Primary Taxonomy261QD1600X

Provider Legal NameNICHOLAS ERIC RAYCredential: MAT

Location Address1507 POPLAR ESTATES PKWYGermantown, TN 38138-1840

Mailing Address1507 Poplar Estates PkwyGermantown, TN 38138-1840 · (901) 828-1146

Phone(901) 828-1146

Sole ProprietorYes

Enumeration DateJanuary 16, 2021

NPPES CertifiedJanuary 16, 2021

✔ NPI 1104415801 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Developmental DisabilitiesAmbulatory Health Care Facilities

Taxonomy Code261QD1600X

License✔ Licensed in TN · 200004323

Definition

An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).

1507 POPLAR ESTATES PKWY, Germantown, TN 38138

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicholas Ray's NPI number?

The NPI number for Nicholas Ray is 1104415801. It was assigned to this individual provider in the NPPES registry on January 16, 2021.

Where is Nicholas Ray located?

Nicholas Ray practices at 1507 Poplar Estates Pkwy, Germantown, TN 38138. The listed phone number is (901) 828-1146.

What is Nicholas Ray's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Developmental Disabilities, with taxonomy code 261QD1600X.

When was this NPI record last updated?

The NPPES record for Nicholas Ray was last updated on January 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.