NJ Memory Center, LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

NJ MEMORY CENTER, LLC

Practice address

80 Pompton Ave Ste 106
Verona, NJ 07044-2913

Phone

(201) 577-8286

Fax

(201) 479-0299

NPI assigned

Mar 4, 2019

Organization subpart

No

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

Authorized official

Name

Corey J Burchette, PSY.D.NPI 1629354592

Title

Founder

Phone

(201) 577-8286

Specialties & licenses 1

Addresses

Tax ID family

NJ Memory Center LLC2 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.

• NJ Memory Center, LLC

  • Clinical Psychologist
  • Verona, NJ
  • NPI 1518425040
  NPD tax ID

Locations

Practitioners 1

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

• Corey J Burchette, PSY.D.

  • Clinical Psychologist
  • Verona, NJ
  • NPI 1629354592
  NPD Authorized official

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

{
    "created_epoch": "1551657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551657600000",
    "number": "1952869489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 POMPTON AVE STE 106",
            "city": "VERONA",
            "state": "NJ",
            "postal_code": "070442913",
            "telephone_number": "201-577-8286",
            "fax_number": "201-479-0299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 POMPTON AVE STE 106",
            "city": "VERONA",
            "state": "NJ",
            "postal_code": "070442913",
            "telephone_number": "201-577-8286",
            "fax_number": "201-479-0299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NJ MEMORY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-04",
        "last_updated": "2019-03-04",
        "status": "A",
        "authorized_official_last_name": "BURCHETTE",
        "authorized_official_first_name": "COREY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "201-577-8286",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nexus Language Builders Inc.
• Michael NG, L.ACUPUNCTURIST, MBA
• Sarah Nielsen, MD
• NJ Counseling, Training, and Consultation Group, LLC
• NJ Memory Center, LLC
• Frances Noronha
• Sallie Annelle Norquist, PHD
• North Atlantic Pain and Rehab Associates, LLC
• Nouvelle Health
• Nouvelle Health

• Clinical Psychologist in Verona, NJ
• Providers in Verona, NJ by specialty
• Clinical Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2019; 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.