CNS MEMORY CLINIC LLC (NPI# 1881087369) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881087369 |
| Entity Type | Organization |
| Organization Name | CNS MEMORY CLINIC LLC |
| Practice Address |
2440 N Litchfield Rd Ste 200 Goodyear AZ 85395-1664 |
| Practice Telephone | 6239776860 |
| Practice Fax Number | 6239772016 |
| Mailing Telephone | 6239776860 |
| Mailing Fax Number | 6239772016 |
| Enumeration Date | 2015-03-09 |
| Last Update Date | 2020-10-19 |
| Authorized Official Name | DR. DANE A HIGGINS (OWNER) |
| Authorized Official Telephone | 6239776860 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | 3656 | AZ | Behavioral Health & Social Service Providers |
| Y | 103G00000X | Clinical Neuropsychologist | 3656 | AZ | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 874322 | 05 |
| Street Address |
2440 N LITCHFIELD RD STE 200 |
| City | GOODYEAR |
| State | AZ |
| Zip Code | 85395-1664 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023089034 | Dane Higgins | Clinical Neuropsychologist | 2440 N Litchfield Rd Ste 200, Goodyear, AZ 85395-1664 | 2006-01-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154962439 | Amber Dawn Gutierrez | Registered Nurse | 15430 W. Turney Avenue, Goodyear, AZ 85395 | 2019-10-08 |
| 1851947865 | Az Care Partners Home Care, LLC | Chore Provider | 14122 W. Mcdowell Rd., Suite 102a, Goodyear, AZ 85395 | 2019-08-15 |
| 1407334329 | Hana M Eichele | Occupational Therapist | 13385 W Mcdowell Road, Goodyear, AZ 85395 | 2018-08-02 |
| 1639662406 | Kristen Henderson | Occupational Therapist | 14577 W Indian School Road, Goodyear, AZ 85395 | 2018-06-07 |
| 1114419389 | Eric Seabaugh | Specialist/Technologist | 13385 W. Mcdowell Rd., Goodyear, AZ 85395 | 2018-06-04 |
| 1912497504 | Goodyear Modern Dentistry, LLP | Dentist | 15260 West Mcdowell Rd, Goodyear, AZ 85395 | 2018-05-18 |
| 1225531551 | Erik Jason Martinez | Registered Nurse | 4565 N 153rd Ln, Goodyear, AZ 85395 | 2018-03-13 |
| 1538677042 | Kacie Bartlett | Speech-Language Pathologist | 14557 W Mcdowel Rd, Suiet 500, Goodyear, AZ 85395 | 2018-01-18 |
| 1942717277 | Deeann Guymon | Specialist/Technologist | 13385 W. Mcdowell Road, Goodyear, AZ 85395 | 2018-01-09 |
| 1023520228 | Kathy Lynn Gorchesky | Registered Nurse | 15430 West Turney Avenue, Goodyear, AZ 85395 | 2017-10-27 |
| Find all providers in zip 85395 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023089034 | Dane Higgins | Clinical Neuropsychologist | 2440 N Litchfield Rd Ste 200, Goodyear, AZ 85395-1664 | 2006-01-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467088062 | Generational Bridges Neuropsychological Services Pllc | Clinical Neuropsychologist | 1515 E Missouri Dr, Phoenix, AZ 85014 | 2020-03-16 |
| 1750862264 | Focus Neuropsychology Az, Pllc | Clinical Neuropsychologist | 2400 N Central Ave Ste 204, Phoenix, AZ 85004-1341 | 2018-08-22 |
| 1386172732 | Brett Andersen | Clinical Neuropsychologist | 300 W Clarendon Ave Ste 130, Phoenix, AZ 85013-3421 | 2017-05-30 |
| 1164973467 | Neuropsychology Associates, PC | Clinical Neuropsychologist | 1515 E Missouri Ave Ste 110, Phoenix, AZ 85014-2443 | 2016-10-21 |
| 1134578677 | Renee Gutman | Clinical Neuropsychologist | 5715 N Calle De Lucimiento, Tucson, AZ 85718-5134 | 2016-06-06 |
| 1548618887 | Christina Marie Figueroa | Clinical Neuropsychologist | 10474 W Thunderbird Blvd Ste 201, Sun City, AZ 85351-3015 | 2016-05-26 |
| 1376908699 | Brain U, LLC | Clinical Neuropsychologist | 14200 N Northsight Blvd Ste 100, Scottsdale, AZ 85260 | 2015-12-31 |
| 1437524733 | Pinnacle Center, Inc. | Clinical Neuropsychologist | 4423 N 24th St, Phoenix, AZ 85016-5544 | 2015-12-11 |
| 1609249721 | Karen Haas Putnam | Clinical Neuropsychologist | 2209 E 4th St, Tucson, AZ 85719-5119 | 2015-11-11 |
| 1174927172 | Christopher Simpson | Clinical Neuropsychologist | 10184 W Happy Valley Rd, Suite 190, Peoria, AZ 85383-1254 | 2014-10-20 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on CNS MEMORY CLINIC 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.