Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Montclair Memory Clinic LLC

Organization Clinical Neuropsychologist · NPI 1114396835

Montclair Memory Clinic LLC is a Clinical Neuropsychologist 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
Phone: (973) 743-4555
Fax: (973) 743-4055
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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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