MEMORY CLINIC, INC.
NPI 1205359213
Psychiatry & Neurology - Behavioral Neurology & Neuropsychiatry in Bennington, VT
About Memory Clinic, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MEMORY CLINIC, INC. (NPI 1205359213) is a healthcare organization registered as a behavioral neurology & neuropsychiatry in Bennington, Vermont and active in the NPI registry since July 2017. The organization holds a CLIA Waiver certificate valid through May 30, 2027 and lists Cynthia Murphy, Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 4
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Memory Clinic, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
6Medicare enrollment records show 6 clinicians reassign Medicare billing to Memory Clinic, Inc., which bills Medicare for the services they deliver. Of these, 5 practice at this address and 6 within 10 miles. They are listed nearest first.
Clinicians, nearest first (6)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 47D0987230
Memory Clinic,the · Bennington, VTFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Memory Clinic, Inc.'s NPI number?
The NPI number for Memory Clinic, Inc. is 1205359213. It was assigned to this organization in the NPPES registry on July 21, 2017.
Where is Memory Clinic, Inc. located?
Memory Clinic, Inc. is located at 357 Shields Dr, Bennington, VT 05201. The listed phone number is (802) 447-1409.
What is Memory Clinic, Inc.'s specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Behavioral Neurology & Neuropsychiatry, with taxonomy code 2084B0040X.
Is Memory Clinic, Inc. enrolled in Medicare?
Yes. Memory Clinic, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Memory Clinic, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 3 Medicare specialties reassign their Medicare billing to Memory Clinic, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Clinical Psychologist (4), Nurse Practitioner (1) and Psychiatry (1). Of these, 5 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Memory Clinic, Inc. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 47D0987230) is associated with this NPI, valid through May 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Memory Clinic, Inc. accept?
Health plans from Anthem Blue Cross and Blue Shield list Memory Clinic, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Memory Clinic, Inc. was last updated on March 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Memory Clinic, Inc. · NPI 1205359213
Behavioral Neurology & Neuropsychiatry organization in Bennington, Vermont. Organization record, active in the CMS NPPES registry since July 21, 2017.
## Identity
- **NPI:** 1205359213 (Entity type: Organization)
- **Enumerated:** July 21, 2017
- **Primary specialty:** Psychiatry & Neurology - Behavioral Neurology & Neuropsychiatry · taxonomy 2084B0040X
- **Organization subpart:** No
- **Authorized official:** Cynthia Murphy, DIRECTOR
## Practice location
- **Address:** 357 SHIELDS DR, Bennington, VT 05201-9810
- **Phone:** (802) 447-1409
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 6 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Clinical Psychologist (4), Nurse Practitioner (1), Psychiatry (1); 5 practice at this address and 6 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 16, 2021
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1205359213) · Data from the CMS NPPES public registry.