MEMPHIS CENTER FOR MINDFUL LIVING, LLC
NPI 1265950919
Psychologist - Clinical in Memphis, TN

Q: What is Memphis Center For Mindful Living, LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Active since September 01, 2017

4646 POPLAR AVE STE 435, MEMPHIS, TN 38117(901) 537-2900(901) 537-2901 Get Directions Write a Review

NPPES record last updated: September 1, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Memphis Center For Mindful Living, Llc NPPES

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

MEMPHIS CENTER FOR MINDFUL LIVING, LLC (NPI 1265950919) is a healthcare organization registered as a clinical in Memphis, Tennessee and active in the NPI registry since September 2017. The organization lists Amy Christine Balentine, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1265950919

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameMEMPHIS CENTER FOR MINDFUL LIVING, LLC

Location Address4646 POPLAR AVE STE 435Memphis, TN 38117-4443

Mailing Address4646 Poplar Ave Ste 435Memphis, TN 38117-4443

Phone(901) 537-2900

Fax(901) 537-2901

Organization SubpartNo

Authorized OfficialAmy Christine BalentineExecutive Director · (901) 537-2900

Enumeration DateSeptember 1, 2017

✔ NPI 1265950919 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in TN · 2519

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

4646 POPLAR AVE STE 435, Memphis, TN 38117

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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)

Memphis Center For Mindful Living, 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 Memphis Center For Mindful Living, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Amy Balentine, PH.D

Clinical Psychologist

NPI 1902832272

8115 COUNTRY VILLAGE DR
Cordova, TN 38016

(901) 752-2300

✔ PECOS✔ Accepts Medicare7.1 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 Memphis Center For Mindful Living, LLC's NPI number?

The NPI number for Memphis Center For Mindful Living, LLC is 1265950919. It was assigned to this organization in the NPPES registry on September 1, 2017.

Where is Memphis Center For Mindful Living, LLC located?

Memphis Center For Mindful Living, LLC is located at 4646 Poplar Ave Ste 435, Memphis, TN 38117. The listed phone number is (901) 537-2900.

What is Memphis Center For Mindful Living, LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Memphis Center For Mindful Living, LLC enrolled in Medicare?

Yes. Memphis Center For Mindful Living, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Memphis Center For Mindful Living, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Memphis Center For Mindful Living, 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 Memphis Center For Mindful Living, LLC was last updated on September 1, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.