THE MEMORY DOCTOR, LLC
NPI 1265434534
Clinical Neuropsychologist in Leesburg, FL
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
Specialties & Licenses 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
The Memory Doctor, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to The Memory Doctor, LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Is The Memory Doctor, LLC enrolled in Medicare?
Yes. The Memory Doctor, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through The Memory Doctor, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to The Memory Doctor, LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
# The Memory Doctor, Llc · NPI 1265434534
Clinical Neuropsychologist organization in Leesburg, Florida. Organization record, active in the CMS NPPES registry since June 1, 2005.
## Identity
- **NPI:** 1265434534 (Entity type: Organization)
- **Enumerated:** June 1, 2005
- **Primary specialty:** Clinical Neuropsychologist · taxonomy 103G00000X
- **Organization subpart:** No
- **Authorized official:** Brenda Mason, OFFICE MANAGER
## Practice location
- **Address:** 26540 ACE AVE STE E-106, Leesburg, FL 34748-8279
- **Phone:** (352) 530-2170 · **Fax:** (352) 530-2180
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Clinical Psychologist) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 29, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1265434534) · Data from the CMS NPPES public registry.