CNS MEMORY CLINIC LLC NPI 1881087369

NPI Information

  • NPI: 1881087369
  • Provider Name: CNS MEMORY CLINIC LLC
  • Classification: Clinical Neuropsychologist - 103G00000X
  • Entity Type: Organization
  • Address: 2440 N LITCHFIELD RD STE 200
    GOODYEAR, AZ
    ZIP 85395
  • Phone: (623) 977-6860

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NPI Details

CNS MEMORY CLINIC LLC is a clinical neuropsychologist in Goodyear, AZ. The provider is a clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems. CNS MEMORY CLINIC LLC NPI is 1881087369. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

2440 N LITCHFIELD RD STE 200
GOODYEAR, AZ
ZIP 85395-664
Phone: (623) 977-6860
Fax: (623) 977-2016

The provider's authorized official is Dane A Higgins .
The authorized official title is Owner and has the following contact phone number (623) 977-6860.

The enumeration date for this NPI number is 3/9/2015 and was last updated on 10/19/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103T00000XPsychologist3656ARIZONANo
2103G00000XClinical Neuropsychologist3656ARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1874322MEDICAIDARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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