Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Nicholas Eric Ray, MAT

Individual provider Developmental Disabilities Clinic/Center · NPI 1104415801

Nicholas Eric Ray, MAT is a Developmental Disabilities Clinic/Center in Germantown, Tennessee. Practices as a sole proprietor. Licensed in Tennessee.

Licensed in
TN
In the registry since
2021

Practice location Address checks out

1507 Poplar Estates Pkwy
Germantown, TN 38138-1840
Phone: (901) 828-1146
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Developmental Disabilities Clinic/Center (primary) Taxonomy 261QD1600X · Licence 200004323 (TN)

Record details

NPI number1104415801
Entity typeIndividual (Type 1)
GenderMale
Credentials MAT
Sole proprietorYes
NPI enumeratedJanuary 16, 2021
Last updated in NPPESJanuary 16, 2021
Certification dateJanuary 16, 2021