CLR MIND PSYCHIATRY, LLC
NPI 1144049024
Nurse Practitioner - Psychiatric/Mental Health in Memphis, TN

Active since October 07, 2024
4466 ELVIS PRESLEY BLVD STE 119, MEMPHIS, TN 38116(901) 878-9147 Get Directions Write a Review

NPPES record last updated: February 28, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 28, 2025, Oct 7, 2024 (2 updates tracked since 2024).

About Clr Mind Psychiatry, Llc NPPES

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

CLR MIND PSYCHIATRY, LLC (NPI 1144049024) is a healthcare organization registered as a psychiatric/mental health in Memphis, Tennessee and active in the NPI registry since October 2024. The organization lists Marqueta Abraham, Psychiatric Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1144049024
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameCLR MIND PSYCHIATRY, LLC
Location Address4466 ELVIS PRESLEY BLVD STE 119Memphis, TN 38116-7129
Mailing Address4466 Elvis Presley Blvd Ste 119Memphis, TN 38116-7129 · (901) 878-9147
Organization SubpartNo
Authorized OfficialMarqueta AbrahamPsychiatric Nurse Practitioner · (901) 878-9147
Enumeration DateOctober 7, 2024
Last NPPES UpdateFebruary 28, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 28, 2025
✔ NPI 1144049024 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
4466 ELVIS PRESLEY BLVD STE 119, Memphis, TN 38116

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Clr Mind Psychiatry, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Clr Mind Psychiatry, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1447641634
11100 HIGHWAY 64
Bolivar, TN 38008
(731) 228-0634
✔ PECOS✔ Accepts Medicare59 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Clr Mind Psychiatry, LLC's NPI number?

The NPI number for Clr Mind Psychiatry, LLC is 1144049024. It was assigned to this organization in the NPPES registry on October 7, 2024.

Where is Clr Mind Psychiatry, LLC located?

Clr Mind Psychiatry, LLC is located at 4466 Elvis Presley Blvd Ste 119, Memphis, TN 38116. The listed phone number is (901) 878-9147.

What is Clr Mind Psychiatry, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Clr Mind Psychiatry, LLC enrolled in Medicare?

Yes. Clr Mind Psychiatry, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Clr Mind Psychiatry, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Clr Mind Psychiatry, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Clr Mind Psychiatry, LLC was last updated on February 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.