NPIMap

Organization Active NPI

Senior Living Memory Health, Inc.

Doing business as Memory Training Centers of Florida

  • Clinical Psychologist
  • North Miami Beach, FL
National Provider Identifier
1851847834
Registry record updated Feb 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY5534 Issued in FL
Legal business name
SENIOR LIVING MEMORY HEALTH, INC.
Doing business as
Memory Training Centers of Florida
Practice address
16853 NE 2ND Ave Ste 304
North Miami Beach, FL 33162-1776
Phone
(786) 414-6666
Fax
(786) 221-3542
NPI assigned
Aug 30, 2016
Last updated
Feb 26, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2025

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

Authorized official

Name
Elizabeth Bicknell
Title
President
Phone
(954) 408-5411

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PY5534 FL Primary

Addresses

Primary practice location

16853 NE 2ND Ave Ste 304
North Miami Beach, FL 33162-1776

Mailing address

16853 NE 2ND Ave Ste 304
North Miami Beach, FL 33162-1776
Phone (786) 414-6666

Other names 1

  • Memory Training Centers of Florida Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250331001923 FL Part B Supplier - Clinic/Group Practice 7517480577 Receives reassigned benefits from 135 practitioners

National Provider Directory

National Provider Directory
Tax ID family
Memory Training Centers of Florida2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1050 SW 24th Ave
Deerfield Beach, FL 33442
Phone (954) 360-7667

3980 NW 47th Ter
Lauderdale Lakes, FL 33319
Phone (954) 909-0278

15055 SW 97th Ave
Miami, FL 33176

301 Ebbtide Dr
Ste H
North Palm Beach, FL 33408

1019 S State Road 7
Plantation, FL 33317

4847 David S Mack Dr
West Palm Beach, FL 33417
Phone (561) 209-6123

Practitioners & affiliated clinicians

Practitioners 140

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.

View all 140

NPI Registry JSON

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

{
    "created_epoch": "1472515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740528000000",
    "number": "1851847834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16853 NE 2ND AVE STE 304",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331621776",
            "telephone_number": "786-414-6666",
            "fax_number": "786-221-3542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16853 NE 2ND AVE STE 304",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331621776",
            "telephone_number": "786-414-6666",
            "fax_number": "786-221-3542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR LIVING MEMORY HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-30",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A",
        "authorized_official_last_name": "BICKNELL",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-408-5411"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY5534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Memory Training Centers of Florida",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Miami Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.