Organization Active NPI

Memory Training Services LLC

Doing business as Memory Training Center

  • Neurology Physician
  • Saint Louis, MO
National Provider Identifier
1710701495
Registry record updated Nov 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
MEMORY TRAINING SERVICES LLC
Doing business as
Memory Training Center
Practice address
456 N New Ballas Rd Ste 266
Saint Louis, MO 63141-6842
Phone
(314) 604-0758
NPI assigned
Nov 11, 2024
Last updated
Nov 11, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2024

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

Authorized official

Name
Roula Al Dahhak, MDNPI 1033116165
Title
Owner
Phone
(314) 604-0758

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X Primary

Addresses

Primary practice location

456 N New Ballas Rd Ste 266
Saint Louis, MO 63141-6842

Mailing address

456 N New Ballas Rd Ste 266
Saint Louis, MO 63141-6842

Other names 1

  • Memory Training Center Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1731283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731283200000",
    "number": "1710701495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "456 N NEW BALLAS RD STE 266",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631416842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "456 N NEW BALLAS RD STE 266",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631416842",
            "telephone_number": "314-604-0758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORY TRAINING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-11",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-11",
        "status": "A",
        "authorized_official_last_name": "AL DAHHAK",
        "authorized_official_first_name": "ROULA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-604-0758",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Memory Training Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2024; 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.