Montclair Memory Clinic Llc
LBN: Montclair Memory Clinic Llc
Montclair Memory Clinic Llc is an health care organization with primary practice located at 70 Park Street Suite 207, Montclair NJ 07042-2960. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Clinical, Speech, Language and Hearing Service Providers / Speech-Language Pathologist. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is the primary health care specialty.
Montclair Memory Clinic Llc can be contacted via phone (973) 743-4555, or through Rondeau, Jacqueline A via phone (973) 743-4555.
Contact Information
Primary practice address
70 Park Street Suite 207
Montclair NJ 07042-2960
Phone: (973) 743-4555
Fax: (973) 743-4055
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | 35SI00390000 | New Jersey |
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 35SI00390000 | New Jersey |
Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X |
Profile Details
NPI number | 1114396835 |
---|---|
LBN Legal business name | Montclair Memory Clinic Llc |
DBA Doing business as | |
Authorized official | Rondeau, Jacqueline A PSYD |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Sep 23rd, 2015 |
Last updated | Apr 15th, 2016 - about 9 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 | 1114396835 | NPPES |
New Jersey | MEDICAID | 0051560 |
Popular Providers
-
Karol, Pc
11800 Singletree Ln #203, Eden Prairie MN 55344-5328 -
Legacy Clinical Consultants, Llc
3033 Ogden Ave Ste 200 , Lisle IL 60532-1976 -
The Memory Doctor, Llc
26540 Ace Ave Ste E-106 , Leesburg FL 34748-8279 -
Center For Memory Disorders, Inc.
3901 E Colonial Dr Suite E, Orlando FL 32803-5245 -
Neuropsychology Associates
1233 Shelburne Rd Suite 480, South Burlington VT 05403-7700 -
Rowansom Newjersey Institute For Successful Aging-Geriatric Psychiatry
42 East Laurel Road Udp, Suite 1800, Stratford NJ 08084 -
State University Of Iowa
600 Blank Honors Center The University Of Iowa, Iowa City IA 52242-0454 -
Child And Family Psychological Services, Pllc
89 Access Rd Suite 24, Norwood MA 02062