Montclair Memory Clinic LLC
Clinical Neuropsychologist in Montclair, New Jersey
1114396835- Practice location
- 70 Park Street, Suite 207, Montclair, NJ 07042-2960
- Phone
- 973-743-4555
- Fax
- 973-743-4055
- Last updated
- April 15, 2016
Montclair Memory Clinic LLC is a healthcare organization based in Montclair, NJ. Montclair Memory Clinic LLC practices in Montclair, NJ. The NPI Number for Montclair Memory Clinic LLC is 1114396835 and holds a License No. 35SI00390000 (NJ). The current practice location address for Montclair Memory Clinic LLC is 70 Park Street, Suite 207, Montclair, NJ 07042-2960 and can be reached out via phone at 973-743-4555 and via fax at 973-743-4055.
Provider Profile Details
- NPI Number
- 1114396835
- Provider Name
- Montclair Memory Clinic LLC
- Provider Entity Type
- Organization
- Address
- 70 Park Street, Suite 207, Montclair, NJ 07042-2960
- Phone Number
- 973-743-4555
- Fax Number
- 973-743-4055
- Primary Taxonomy
- Clinical Neuropsychologist · 103G00000X
- Organization Subpart
- No
- Authorized Official
- Jacqueline A Rondeau, PSYD · Clinical Director · 973-743-4555
- Provider Enumeration Date
- September 23, 2015
- Last Update Date
- April 15, 2016
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 70 Park Street
Suite 207
Montclair, NJ 07042-2960 - City
- Montclair
- State
- New Jersey
- Zip
- 07042-2960
- Phone Number
- 973-743-4555
- Fax Number
- 973-743-4055
Provider Business Mailing Address Details
- Address
- Po Box 8121
Glen Ridge, NJ 07028-8121 - City
- Glen Ridge
- State
- NJ
- Zip
- 07028-8121
- Phone Number
- 973-743-4555
- Fax Number
- 973-743-4055
License Information
- License Number (1)
- 35SI00390000
- License State (1)
- NJ
- Taxonomy (1)
- Psychologist, Clinical · 103TC0700X
- Taxonomy (2)
- Speech-Language Pathologist, · 235Z00000X
- License Number (3)
- 35SI00390000
- License State (3)
- NJ
- Taxonomy (3)
- Clinical Neuropsychologist · 103G00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Clinical Neuropsychologists near Montclair, NJ
View all Clinical Neuropsychologists in Montclair →- Jacqueline A Rondeau PSYDClinical Neuropsychologist · NPI 1992182372
- Therese B Felcher, LCSWSocial Worker, Clinical · NPI 1265623284
- Kahn Health PCFamily Medicine · NPI 1548160989
- Loren Galese, MEDCounselor, Professional · NPI 1447644661
- Inspired Psychotherapy & Consultation LLCSocial Worker, Clinical · NPI 1861392417
- Dr. Charles N Cartwright, MDPsychiatry & Neurology, Child & Adolescent Psychiatry · NPI 1497833735
Frequently Asked Questions
What is the NPI number of Montclair Memory Clinic LLC?
The NPI number of Montclair Memory Clinic LLC is 1114396835. It was assigned on September 23, 2015 and is currently active in the NPPES registry.
What is the specialty of Montclair Memory Clinic LLC?
Montclair Memory Clinic LLC is registered under the primary taxonomy Clinical Neuropsychologist (code 103G00000X), licensed in NJ under license number 35SI00390000.
Where does Montclair Memory Clinic LLC practice?
The practice location is 70 Park Street, Suite 207, Montclair, NJ 07042-2960. The office can be reached at 973-743-4555 (phone) or 973-743-4055 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1114396835 directly on the NPPES registry website.