Organization
MONTCLAIR MEMORY CLINIC LLC
Active
Organization
MONTCLAIR MEMORY CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE A RONDEAU PSYD (CLINICAL DIRECTOR)
(973) 743-4555
Entity
Organization
Contact information
Practice address
70 PARK STREET, SUITE 207, MONTCLAIR, NJ 07042-2960
(973) 743-4555
(973) 743-4055
Mailing address
PO BOX 8121, GLEN RIDGE, NJ 07028-8121
(973) 743-4555
(973) 743-4055
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
35SI00390000
NJ
103TC0700X
Clinical Psychologist
35SI00390000
NJ
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0051560
—
NJ
Enumeration date
09/23/2015
Last updated
04/15/2016
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up