Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Montclair Memory Clinic LLC

Organization Clinical Neuropsychologist · NPI 1114396835

Montclair Memory Clinic LLC provides Clinical Neuropsychologist services in Montclair, New Jersey. Licensed in New Jersey. Registered with an NPI since 2015.

Licensed in
NJ
In the registry since
2015
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

70 Park St Ste 207
Montclair, NJ 07042-2960 Not confirmed with CMS for 10 years — call before visiting
Phone: (973) 743-4555
Fax: (973) 743-4055
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Neuropsychologist (primary) Taxonomy 103G00000X · Licence 35SI00390000 (NJ)
Clinical Psychologist Taxonomy 103TC0700X · Licence 35SI00390000 (NJ)
Speech-Language Pathologist Taxonomy 235Z00000X

Record details

NPI number1114396835
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jacqueline Rondeau — Clinical Director · (973) 743-4555
NPI enumeratedSeptember 23, 2015
Last updated in NPPESApril 15, 2016
Mailing addressPo Box 8121, Glen Ridge, NJ 07028-8121

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