Memory Wellness, LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

233651 Issued in MA

Legal business name

MEMORY WELLNESS, LLC

Practice address

155 Maple St
Suite 203
Springfield, MA 01105-1828

Phone

(413) 306-6060

Fax

(413) 739-1652

NPI assigned

Sep 9, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Emily F Clionsky, M.D.

Title

President

Phone

(413) 306-6060

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Emilymarie Clionsky, MD

  • Psychiatry Physician
  • Springfield, MA
  • NPI 1053414383
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1189296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235692800000",
    "number": "1083809487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 MAPLE ST",
            "address_2": "SUITE 203",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011051828",
            "telephone_number": "413-306-6060",
            "fax_number": "413-739-1652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 MAPLE ST",
            "address_2": "SUITE 203",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011051828",
            "telephone_number": "413-306-6060",
            "fax_number": "413-739-1652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORY WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-09",
        "last_updated": "2009-02-27",
        "status": "A",
        "authorized_official_last_name": "CLIONSKY",
        "authorized_official_first_name": "EMILY",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "413-306-6060",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MA",
            "license": "233651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yardley Mellon
• Melissa C Melloni
• Kelly Taylor Melnyck, MA
• Patrick Melzer, LCSW CADC
• Christopher Devon Meminger
• Caitlin R Menard, LICSW
• Kathleen K Menard, PA-C
• Jose E Mendez
• Joshua Mendez
• Leoncio Mendez

• Primary Care Clinic/Center in Springfield, MA
• Providers in Springfield, MA by specialty
• Primary Care Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.