Memory Wellness, LLC
Clinic/Center, Primary Care in Springfield, MA. Organization (NPI-2).
Details
- NPI
- 1083809487
- Entity type
- Organization (NPI-2)
- Legal business name
- Memory Wellness, LLC
- Organization subpart
- No
- Enumeration date
- Sep 9, 2007
- Last updated
- Feb 27, 2009
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2300X | Clinic/Center, Primary Care | 233651 | MA | Yes |
Practice location
155 Maple StSuite 203
Springfield, MA 01105-1828
Phone 413-306-6060 · Fax 413-739-1652
Mailing address
155 Maple StSuite 203
Springfield, MA 01105-1828
Phone 413-306-6060 · Fax 413-739-1652
Authorized official
Emily F Clionsky
President
4133066060
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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