COGNITIVE CENTERS OF AMERICA, LLC (NPI# 1104051747) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104051747 |
| Entity Type | Organization |
| Organization Name | COGNITIVE CENTERS OF AMERICA, LLC |
| Other Organization Name | MEMORY TRAINING CENTERS |
| Practice Address |
631 Beacon Pkwy W Suite 203 Birmingham AL 35209-3124 |
| Mailing Address |
9340 Helena Rd Suite F-414 Hoover AL 35244-1794 |
| Practice Telephone | 2056412975 |
| Practice Fax Number | 8887733586 |
| Mailing Telephone | 2056412975 |
| Mailing Fax Number | 8887733586 |
| Enumeration Date | 2009-05-27 |
| Last Update Date | 2009-05-27 |
| Authorized Official Name | DR. DONALD H. MARKS (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 2052831688 |
| Authorized Official Credential | M.D, PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Memory Training Centers | Doing Business As Name - Organization |
| Street Address |
631 BEACON PKWY W SUITE 203 |
| City | BIRMINGHAM |
| State | AL |
| Zip Code | 35209-3124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699858332 | Jeffrey J Dolce | Psychologist | 631 Beacon Pkwy W, Suite 203, Birmingham, AL 35209-3124 | 2006-10-24 |
| 1669607487 | Robert Lewis Bare | Psychologist | 631 Beacon Pkwy W, Suite 203, Birmingham, AL 35209-3124 | 2009-05-22 |
| 1245434075 | Kelly Lynn Conklin | Occupational Therapist | 631 Beacon Pkwy W, Birmingham, AL 35209-3124 | 2007-06-14 |
| 1578626669 | Midsouth A Gentiva Company | Home Health | 631 Beacon Pkwy W, Birmingham, AL 35209-3124 | 2006-12-19 |
| 1134281496 | Brittney Daniel Lamb | Physical Therapist | 631 Beacon Pkwy W, Suite 110, Birmingham, AL 35209-3124 | 2006-12-14 |
| 1255492401 | Keith L Dixon | Specialist | 631 Beacon Pkwy W, Suite 110, Birmingham, AL 35209-3124 | 2006-12-12 |
| 1770644924 | Dawn H. Barber | Physical Therapist | 631 Beacon Pkwy W, Suite 110, Birmingham, AL 35209-3124 | 2006-12-12 |
| 1063571826 | Andrea Margaux Collins | Specialist | 631 Beacon Pkwy W, Birmingham, AL 35209-3124 | 2006-12-07 |
| 1689732539 | Susan M Latshaw | Occupational Therapist | 631 Beacon Pkwy W, Birmingham, AL 35209-3124 | 2006-12-04 |
| 1255408845 | Louis Anthony Voulgarides | Physical Therapist | 631 Beacon Pkwy W, Suite 110, Birmingham, AL 35209-3124 | 2006-11-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437793510 | Marissa M Mcintyre | Registered Nurse | 3401 Independence Drive, Suite 221, Birmingham, AL 35209 | 2019-11-01 |
| 1093284457 | Patriot Healthcare of Alabama, LLC | Family Medicine | 2045 Brookwood Medical Center Drive, Suite 1, Birmingham, AL 35209 | 2018-11-15 |
| 1164902268 | Lucy Johnston | Physician Assistant | 1602 Woodfern Dr, Homewood, AL 35209 | 2018-08-17 |
| 1881184646 | Wade Louis Grady | Specialist/Technologist | 800 Larkshore Drive, Birmingham, AL 35209 | 2018-05-16 |
| 1154823029 | Taylor Payne | Physical Medicine & Rehabilitation | 109 Devon Dr, Birmingham, AL 35209 | 2018-03-06 |
| 1396251542 | 1st America Infusion Services LLC | Durable Medical Equipment & Medical Supplies | 120 Oxmoor Blvd Ste 100, Birmingham, AL 35209 | 2017-12-26 |
| 1376060954 | Hannah Holloway | Specialist/Technologist | 725 Crest Lane, Birmingham, AL 35209 | 2017-08-24 |
| 1558887463 | Paul A Rhodes | Nurse Practitioner | 631 Beacon Center Office Park, Suite 108, Birmingham, AL 35209 | 2017-08-22 |
| 1538542196 | Proteus Molecular and Clinical Lab LLC | Clinical Medical Laboratory | 218 Summit Pkwy, Suite 250, Homewood, AL 35209 | 2015-07-01 |
| 1124407739 | Randall Alban | Nurse Practitioner | 2100 Southbridge Parkway, Suite 650, Birmingham, AL 35209 | 2015-05-28 |
| Find all providers in zip 35209 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952901225 | Northerner Psychological Services, Pllc | Psychologist | 1869 Melbourne St, Birmingham, MI 48009-1160 | 2020-10-27 |
| 1437789468 | Kathleen Margaret Whipple | Psychologist | 895 Puritan Ave, Birmingham, MI 48009-4636 | 2020-01-17 |
| 1750941365 | Kristen Marie Smith | Psychologist | 3125 Independence Dr Ste 114, Birmingham, AL 35209-4163 | 2019-06-17 |
| 1700389418 | Michele Valerie Varady | Psychologist | 700 N Old Woodward Ave Ste 300, Birmingham, MI 48009-1338 | 2018-03-09 |
| 1932578838 | Craig Counseling Services, P.l.l.c. | Psychologist | 630 N. Old Woodward Ave., Suite 303, Birmingham, MI 48009-3862 | 2015-09-21 |
| 1104200344 | Insight Therapy, LLC | Psychologist | 166 Office Park Dr., St. 245, Birmingham, AL 35223 | 2015-07-17 |
| 1659706216 | Antonio Psychology Services LLC | Psychologist | 3516 Vann Rd, Suite 104-b, Birmingham, AL 35235-3275 | 2013-09-13 |
| 1437498516 | Laura Lynn Lehmann | Psychologist | 500 Lewis Ct, Birmingham, MI 48009-6817 | 2013-02-08 |
| 1952669780 | Karen R Weiss | Psychologist | 1290 E Lincoln St, Birmingham, MI 48009-7191 | 2012-04-30 |
| 1336420009 | Lena Agree | Psychologist | 240 Martin St # 100, Birmingham, MI 48009-3352 | 2011-09-07 |
| Find all providers in BIRMINGHAM | ||||
| City | BIRMINGHAM |
| Zip Code | 35209 |
Please comment or provide details below to improve the information on COGNITIVE CENTERS OF AMERICA, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.