Memory Disorders Clinic

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

100395 Issued in MN

Legal business name

MEMORY DISORDERS CLINIC

Practice address

1245 15TH St N
Saint Cloud, MN 56303-1802

Phone

(320) 203-2093

NPI assigned

May 17, 2007

Last updated

Aug 22, 2020By 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

Ms. Sandra Wenner

Title

Executive Director

Phone

(320) 203-2000

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871700088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10915 264TH ST",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563019411",
            "telephone_number": "320-293-2128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 15TH ST N",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563031802",
            "telephone_number": "320-203-2093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORY DISORDERS CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WENNER",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "320-203-2000",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MN",
            "license": "100395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyson Mae Flemming Mellendorf, LMFT
• Carl Michael Melling, M.D.
• Douglas Neal Mellinger, DO
• Cinda Jensen Melloy, MD
• Memory Care Clinic
• Shannon Menth, MSN, RN, ARNP, CNP
• Niloufer Moiz Merchant, ED.D
• Albert Joseph Mercuri, MD
• Merls Transportation
• Genife Gera Merrell

• Occupational Therapist in Saint Cloud, MN
• Providers in Saint Cloud, MN by specialty
• Occupational Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.