CNS MEMORY CLINIC LLC
CNS MEMORY CLINIC LLC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1881087369, based in Goodyear, AZ. The organization lists 2 taxonomy classifications, with Clinical Neuropsychologist recorded as primary.
Getting there
The practice address on file is 2440 N LITCHFIELD RD STE 200, Goodyear, AZ 85395. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 3656 | AZ | Clinical Neuropsychologist primary |
| 3656 | AZ | Psychologist |
This provider holds licence 3656 issued in AZ. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Part B Supplier - Clinic/group Practice
- PAC ID
- 2961775895
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Clinical Neuropsychologist covers
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems. NUCC Health Care Provider Taxonomy, code 103G00000X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | 3656 | AZ | primary |
| 103T00000X | Psychologist | 3656 | AZ |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1881087369 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Mar 9, 2015 |
| Last updated | Feb 2, 2026 |
| Status | Active |
| Practice address |
2440 N LITCHFIELD RD STE 200 Goodyear, AZ 85395 (623) 977-6860 Fax (623) 977-2016 |
| Other identifiers |
874322
(AZ) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 8 | 8 | 1 | 0 | 8 | 7 | 3 | 6 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 8 | 7 | 1 | 0 | 8 | 5 | 3 | 3 |
Sum = 61 · next multiple of 10 = 70 · check digit = 9 · actual last digit = 9
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.