Memory Doc

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

MEMORY DOC

Practice address

936 2ND Avenue S
Atlantic Beach, FL 32250

Phone

(904) 860-4813

Fax

(904) 490-8561

NPI assigned

Sep 17, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Tracy Alloway, PHDNPI 1023531829

Title

Psychologist

Phone

(904) 860-4813

Specialties & licenses 1

Addresses

Electronic endpoints 2

Locations

Practitioners 1

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

• Tracy Alloway

  • Clinical Psychologist
  • Atlantic Beach, FL
  • NPI 1023531829
  NPD Authorized official

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

{
    "created_epoch": "1631836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735776000000",
    "number": "1174293419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 ATLANTIC BLVD # 156",
            "city": "ATLANTIC BEACH",
            "state": "FL",
            "postal_code": "322333313",
            "telephone_number": "904-860-4813",
            "fax_number": "904-490-8561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "936 2ND AVENUE S",
            "city": "ATLANTIC BEACH",
            "state": "FL",
            "postal_code": "32250",
            "telephone_number": "904-860-4813",
            "fax_number": "904-490-8561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORY DOC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-17",
        "last_updated": "2025-01-02",
        "certification_date": "2024-12-30",
        "status": "A",
        "authorized_official_last_name": "ALLOWAY",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "904-860-4813",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Jacksonville",
            "affiliation": "N",
            "address_1": "8 Unf Dr # 221",
            "city": "Jacksonville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "322247699",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "office",
            "affiliation": "N",
            "address_1": "8 Unf Dr # 221",
            "city": "Jacksonville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "322247699",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Psychologist in Atlantic Beach, FL
• Providers in Atlantic Beach, FL by specialty
• Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2025; 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.