CNS MEMORY CLINIC LLC
NPI 1881087369
Clinical Neuropsychologist in Goodyear, AZ

Active since March 09, 2015
2440 N LITCHFIELD RD STE 200, GOODYEAR, AZ 85395(623) 977-6860(623) 977-2016 Get Directions Write a Review

NPPES record last updated: February 2, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 2, 2026, Oct 19, 2020, Jan 31, 2017 (3 updates tracked since 2017).

About Cns Memory Clinic Llc NPPES

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

CNS MEMORY CLINIC LLC (NPI 1881087369) is a healthcare organization registered as a clinical neuropsychologist in Goodyear, Arizona and active in the NPI registry since March 2015. The organization maintains 2 additional practice locations and lists Dane A Higgins, Owner, as its authorized official.

NPPES Registry Identity

NPI1881087369
Entity TypeOrganization
Primary Taxonomy103G00000X
Legal Business NameCNS MEMORY CLINIC LLC
Location Address2440 N LITCHFIELD RD STE 200Goodyear, AZ 85395-1664
Mailing Address2440 N Litchfield Rd Ste 200Goodyear, AZ 85395-1664 · (623) 977-6860 · Fax (623) 977-2016
Fax(623) 977-2016
Organization SubpartNo
Authorized OfficialDane A HigginsOwner · (623) 977-6860
Enumeration DateMarch 9, 2015
Last NPPES UpdateFebruary 2, 20263 updates tracked since enumeration
NPPES CertifiedFebruary 2, 2026
✔ NPI 1881087369 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 AZ · 3656
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 3656 (AZ)
2440 N LITCHFIELD RD STE 200, Goodyear, AZ 85395

Secondary Practice Locations 2

Location 12440 N Litchfield Rd Ste 208Goodyear, AZ 85395-1664 · Phone (623) 977-6860 · Fax (623) 977-2016
Location 22440 N Litchfield Rd Ste 210Goodyear, AZ 85395-1664 · Phone (623) 977-6860 · Fax (623) 977-2016

Other Identifiers 1

Medicaid874322AZ

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 MULTIPLE SINGLE SPECIALTY GROUP

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)

Cns Memory Clinic Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Cns Memory Clinic LLC, which bills Medicare for the services they deliver. Of these, 4 practice at this address. They are listed nearest first.

Clinicians, nearest first (6)

Mental Health Counselor
NPI 1194548461
2440 N LITCHFIELD RD STE 210
Goodyear, AZ 85395
(623) 440-5053
✔ PECOS✔ Accepts MedicareSame address
Clinical Psychologist
NPI 1023089034
2440 N LITCHFIELD RD STE 200
Goodyear, AZ 85395
(623) 977-6860
✔ PECOS✔ Accepts MedicareSame address
Mental Health Counselor
NPI 1447870183
2440 N LITCHFIELD RD STE 200
Goodyear, AZ 85395
(623) 977-6860
✔ PECOS✔ Accepts MedicareSame address
Clinical Psychologist
NPI 1164280590
2440 N LITCHFIELD RD STE 200
Goodyear, AZ 85395
(623) 977-6860
✔ PECOS✔ Accepts MedicareSame address
Clinical Psychologist
NPI 1124339742
222 W THOMAS RD SUITE 401
Phoenix, AZ 85013
(602) 406-3473
✔ PECOS✔ Accepts Medicare16 mi
Clinical Psychologist
NPI 1174159545
414 PAOLI PIKE
Malvern, PA 19355
(484) 596-5430
✔ PECOS✔ Accepts Medicare2,078 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 Cns Memory Clinic LLC's NPI number?

The NPI number for Cns Memory Clinic LLC is 1881087369. It was assigned to this organization in the NPPES registry on March 9, 2015.

Where is Cns Memory Clinic LLC located?

Cns Memory Clinic LLC is located at 2440 N Litchfield Rd Ste 200, Goodyear, AZ 85395. The listed phone number is (623) 977-6860.

What is Cns Memory Clinic LLC's specialty?

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

Is Cns Memory Clinic LLC enrolled in Medicare?

Yes. Cns Memory Clinic LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Cns Memory Clinic LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to Cns Memory Clinic 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. The largest specialties are Clinical Psychologist (4) and Mental Health Counselor (2). Of these, 4 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Cns Memory Clinic LLC accept?

Health plans from Ambetter Health and Ambetter from Arizona Complete Health list Cns Memory Clinic LLC 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 Cns Memory Clinic LLC was last updated on February 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.