Memory & Psychological Services, Inc.

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

6017 Issued in OH

Legal business name

MEMORY & PSYCHOLOGICAL SERVICES, INC.

Practice address

8180 Brecksville Rd Ste 115
Brecksville, OH 44141-1353

Phone

(440) 546-0048

Fax

(888) 828-2326

NPI assigned

Dec 29, 2006

Last updated

Oct 19, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Catherine Wheatley

Title

Practice Manager

Phone

(440) 546-0048

Specialties & licenses 2

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Alan Santillan Castro, MD

  • Psychiatry Physician
  • Brecksville, OH
  • NPI 1962516690
  NPD (past)
• Carol Ann Leslie, OT

  • Occupational Therapist
  • Beachwood, OH
  • NPI 1356630289
  NPD (past)
• Barbara Anne Nicely, PH.D.

  • Clinical Psychologist
  • Berea, OH
  • NPI 1215080221
  NPD (past)

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666137600000",
    "number": "1336205590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8180 BRECKSVILLE RD STE 115",
            "city": "BRECKSVILLE",
            "state": "OH",
            "postal_code": "441411353",
            "telephone_number": "440-546-0048",
            "fax_number": "888-828-2326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8180 BRECKSVILLE RD STE 115",
            "city": "BRECKSVILLE",
            "state": "OH",
            "postal_code": "441411353",
            "telephone_number": "440-546-0048",
            "fax_number": "888-828-2326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORY & PSYCHOLOGICAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-29",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-19",
        "status": "A",
        "authorized_official_last_name": "WHEATLEY",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "440-546-0048"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "OH",
            "license": "6017",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "6017",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert H McGovern, PSYCHOLOGIST
• Cathy McKee
• Ashley McNamee, M.ED, BCBA
• Med Express EMS Inc.
• Haley Melichar, OTR/L
• Anthony Menendez, PHD BCBA-D
• Rose Marie Mercer, LPC LICDC
• Blondelle Andrea Midamba, MS, RD, LD
• Amy Mikulec
• Greg Milanich, PHARMD, FASCP

• Clinical Neuropsychologist in Brecksville, OH
• Providers in Brecksville, OH by specialty
• Clinical Neuropsychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2022; 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.