1. Home
  2. Directory
  3. Florida
  4. Leesburg
  5. Clinical Neuropsychologist
  6. NPI Profile

THE MEMORY DOCTOR, LLC
NPI 1265434534
Clinical Neuropsychologist in Leesburg, FL

Active since June 01, 2005
26540 ACE AVE STE E-106, LEESBURG, FL 34748(352) 530-2170(352) 530-2180 Get Directions Write a Review

NPPES record last updated: March 29, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 29, 2021, Jul 24, 2019 (2 updates tracked since 2019).

About The Memory Doctor, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THE MEMORY DOCTOR, LLC (NPI 1265434534) is a healthcare organization registered as a clinical neuropsychologist in Leesburg, Florida and active in the NPI registry since June 2005. The organization lists Brenda Mason, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1265434534
Entity TypeOrganization
Primary Taxonomy103G00000X
Legal Business NameTHE MEMORY DOCTOR, LLC
Location Address26540 ACE AVE STE E-106Leesburg, FL 34748-8279
Mailing Address26540 Ace Ave Ste E-106Leesburg, FL 34748-8279 · (352) 530-2170 · Fax (352) 530-2180
Phone(352) 530-2170
Fax(352) 530-2180
Organization SubpartNo
Authorized OfficialBrenda MasonOffice Manager · (352) 530-2170
Enumeration DateJune 1, 2005
Last NPPES UpdateMarch 29, 20212 updates tracked since enumeration
NPPES CertifiedMarch 29, 2021
✔ NPI 1265434534 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
License✔ Licensed in FL · PY6497
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
Also ListedPsychologistTaxonomy 103T00000X · License PY6497 (FL)
26540 ACE AVE STE E-106, Leesburg, FL 34748
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DOUGLAS J MASON PSYD
Clinical Neuropsychologist
26540 ACE AVE STE E-106
LEESBURG, FL 34748
Lake County (352) 530-2317

Frequently 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 The Memory Doctor, LLC's NPI number?

The NPI number for The Memory Doctor, LLC is 1265434534. It was assigned to this organization in the NPPES registry on June 1, 2005.

Where is The Memory Doctor, LLC located?

The Memory Doctor, LLC is located at 26540 Ace Ave Ste E-106, Leesburg, FL 34748. The listed phone number is (352) 530-2170.

What is The Memory Doctor, LLC's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

When was this NPI record last updated?

The NPPES record for The Memory Doctor, LLC was last updated on March 29, 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.