Cns Memory Clinic Llc
LBN: Cns Memory Clinic Llc
Cns Memory Clinic Llc is an health care organization with primary practice located at 2440 N Litchfield Rd Ste 200 , Goodyear AZ 85395-1664. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is the primary health care specialty.
Cns Memory Clinic Llc can be contacted via phone (623) 977-6860, or through Higgins, Dane A via phone (623) 977-6860.
Contact Information
Primary practice address
2440 N Litchfield Rd Ste 200
Goodyear AZ 85395-1664
Phone: (623) 977-6860
Fax: (623) 977-2016
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | 3656 | Arizona |
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 3656 | Arizona |
Profile Details
| NPI number | 1881087369 |
|---|---|
| LBN Legal business name | Cns Memory Clinic Llc |
| DBA Doing business as | |
| Authorized official | Higgins, Dane A PHD |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 9th, 2015 |
| Last updated | Oct 19th, 2020 - about 5 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1881087369 | NPPES |
| Arizona | MEDICAID | 874322 |
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