Cns Memory Clinic LLC
NPI 1881087369ActiveOrganization· Clinical Neuropsychologist· Goodyear, AZ
Clinical Neuropsychologist in Goodyear, Arizona, registered in NPPES in March 2015. The authorized official on file is Dane A. Higgins, PHD, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1881087369 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 9, 2015 |
| Last updated in NPPES | Feb 2, 2026 |
| Certified by provider | Feb 2, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Clinical Neuropsychologist Primary | 103G00000X | 3656 | AZ |
| Psychologist | 103T00000X | 3656 | AZ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (AZ) |
|---|
Other neuropsychologists in Goodyear
- 1023089034
- 1164280590