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PSYCAMORE, LLC
NPI 1417258625
Clinic/Center in Memphis, TN

Active since November 04, 2010
563 CLARICE DR, MEMPHIS, TN 38109(901) 345-0637 Get Directions Write a Review

NPPES record last updated: November 4, 2010. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Psycamore, Llc NPPES

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

PSYCAMORE, LLC (NPI 1417258625) is a healthcare organization registered as a clinic/center in Memphis, Tennessee and active in the NPI registry since November 2010. The organization lists Jerry Hamilton, Licensed Clinical Social Worker, as its authorized official.

NPPES Registry Identity

NPI1417258625
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NamePSYCAMORE, LLC
Location Address563 CLARICE DRMemphis, TN 38109-4627
Mailing Address563 Clarice DrMemphis, TN 38109-4627 · (901) 345-0637
Phone(901) 345-0637
Organization SubpartNo
Authorized OfficialJerry HamiltonLicensed Clinical Social Worker · (662) 349-2818
Enumeration DateNovember 4, 2010
✔ NPI 1417258625 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in MS · C5871
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Also ListedClinic/Center · Ambulatory Family Planning FacilityTaxonomy 261QA0005X · License C5871 (MS)
Also ListedClinic/Center · Adolescent and Children Mental HealthTaxonomy 261QM0855X · License C5871 (MS)
563 CLARICE DR, Memphis, TN 38109
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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 Psycamore, LLC's NPI number?

The NPI number for Psycamore, LLC is 1417258625. It was assigned to this organization in the NPPES registry on November 4, 2010.

Where is Psycamore, LLC located?

Psycamore, LLC is located at 563 Clarice Dr, Memphis, TN 38109. The listed phone number is (901) 345-0637.

What is Psycamore, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Psycamore, LLC was last updated on November 4, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.