NEUROPSYCHOLOGY & MEMORY CENTER, P.A.
NPI 1619902103
Clinical Neuropsychologist in Naples, FL

Q: What is Neuropsychology & Memory Center, P.A.'s specialty?

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

Active since July 12, 2006

4521 EXECUTIVE DR, SUITE # 204, NAPLES, FL 34119(239) 592-1771(239) 592-0258 Get Directions Write a Review

NPPES record last updated: May 19, 2011. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Neuropsychology & Memory Center, P.a. NPPES

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

NEUROPSYCHOLOGY & MEMORY CENTER, P.A. (NPI 1619902103) is a healthcare organization registered as a clinical neuropsychologist in Naples, Florida and active in the NPI registry since July 2006. The organization lists Jody E. Talbott, Owner President, as its authorized official.

NPPES Registry Identity

NPI1619902103

Entity TypeOrganization

Primary Taxonomy103G00000X

Legal Business NameNEUROPSYCHOLOGY & MEMORY CENTER, P.A.

Location Address4521 EXECUTIVE DR, SUITE # 204Naples, FL 34119-9037

Mailing Address4521 Executive Dr, Suite # 204Naples, FL 34119-9037 · (239) 592-1771 · Fax (239) 592-0258

Phone(239) 592-1771

Fax(239) 592-0258

Organization SubpartNo

Authorized OfficialJody E. TalbottOwner President · (239) 592-1771

Enumeration DateJuly 12, 2006

Last NPPES UpdateMay 19, 2011

✔ NPI 1619902103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers

Taxonomy Code103G00000X

License✔ Licensed in FL · PY 7020

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.

4521 EXECUTIVE DR, Naples, FL 34119

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Other Identifiers 1

OtherU4063YFL · Medicare Ptan

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Neuropsychology & Memory Center, P.a. 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 Neuropsychology & Memory Center, P.A., which bills Medicare for the services this clinician delivers.

Clinician (1)

Jody Talbott, PH.D.

Clinical Psychologist

NPI 1861475659

4521 EXECUTIVE DR 204
Naples, FL 34119

(239) 592-1771

✔ PECOS✔ Accepts Medicare0.1 mi

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 Neuropsychology & Memory Center, P.A.'s NPI number?

The NPI number for Neuropsychology & Memory Center, P.A. is 1619902103. It was assigned to this organization in the NPPES registry on July 12, 2006.

Where is Neuropsychology & Memory Center, P.A. located?

Neuropsychology & Memory Center, P.A. is located at 4521 Executive Dr Suite # 204, Naples, FL 34119. The listed phone number is (239) 592-1771.

What is Neuropsychology & Memory Center, P.A.'s specialty?

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

Is Neuropsychology & Memory Center, P.A. enrolled in Medicare?

Yes. Neuropsychology & Memory Center, P.A. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Neuropsychology & Memory Center, P.A.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Neuropsychology & Memory Center, P.A.. 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 Neuropsychology & Memory Center, P.A. was last updated on May 19, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.