MICHAEL L GLENN (NPI# 1083753578) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083753578 |
| Entity Type | Individual |
| Full Name | MICHAEL L GLENN |
| Credential | M.D. |
| Practice Address |
26 Farragut Ave Medford MA 02155-4012 |
| Practice Telephone | 7813966424 |
| Mailing Telephone | 7813966424 |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
33847 | MA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750425179 | Michael Glenn | Counselor | 37 Tanager St, Arlington, MA 02476-5734 | 2007-02-18 |
| 1841341955 | Michael Earl Glenn | Physical Therapist | 2511 Fairlane Dr, Suite C 100, Montgomery, AL 36116-1649 | 2007-01-15 |
| 1255354080 | Michael G Glenn | Otolaryngology | 1100 9th Ave, Seattle, WA 98101-2756 | 2006-07-25 |
| 1639144439 | Michael Craig Glenn | Chiropractor | 650 Joel Dr, Blanchfield Army Community Hospital, Ft. Campbell, KY 42223-5349 | 2006-02-23 |
| Street Address |
26 FARRAGUT AVE |
| City | MEDFORD |
| State | MA |
| Zip Code | 02155-4012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679113922 | Elena Chapman | Nurse Practitioner | 293 Salem St 4, Medford, MA 02155 | 2020-01-14 |
| 1922658830 | Michelle Anne Zona | Counselor | 100 George Hassett Dr, Medford, MA 02155 | 2019-09-13 |
| 1487138509 | Dava Davainis | Social Worker | 76 Newbern Avenue, Apt. 1, Medford, MA 02155 | 2018-09-25 |
| 1265915128 | Erin Roberts | Counselor | Medford Public Schools, 3002 Mystic Valley Pkwy, Medford, MA 02155 | 2018-09-07 |
| 1871075739 | Janice Madeline Cole | Social Worker | 3820 Mystic Valley Pkwy Unit 805, Medford, MA 02155 | 2018-09-06 |
| 1447732573 | Mystick Women's Health, Inc. | Obstetrics & Gynecology | 13 Bradlee Road, Medford, MA 02155 | 2018-09-05 |
| 1144713090 | Laura Rogers | Psychologist | 203 Paige Hall, 12 Upper Campus Road, Medford, MA 02155 | 2018-06-14 |
| 1871086694 | Shuo Yang | Dentist | 8 9th St Apt 310, Medford, MA 02155 | 2018-06-07 |
| 1891287108 | Xuhua Qin | Psychologist | 120 Curtis Street, Medford, MA 02155 | 2018-06-01 |
| 1568953529 | Cvs Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 471 Salem St, Medford, MA 02155 | 2018-05-25 |
| Find all providers in zip 02155 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922574326 | Emily G Wilkins | Psychiatry & Neurology | 239 Taunton, A-2, Medford, NJ 08055 | 2018-10-23 |
| 1215447008 | Jacqueline Amato, Md PC | Psychiatry & Neurology | 841 Alder Creek Dr, Medford, OR 97504-8900 | 2017-10-05 |
| 1982069357 | Ferguson and Pitch Tms Medical Associates Pllc | Psychiatry & Neurology | 1739-a North Ocean Ave, Medford, NY 11763-2683 | 2015-12-29 |
| 1295175347 | Nicole Shirvani | Psychiatry & Neurology | 691 Murphy Rd Ste 218, Medford, OR 97504-4311 | 2013-07-02 |
| 1487908927 | Jeffrey D. Thompson, Md, PC | Psychiatry & Neurology | 18 Myrtle St Ste 102, Medford, OR 97504-7471 | 2012-11-06 |
| 1033404785 | Akshar Health Associates, LLC | Psychiatry & Neurology | 15 Somerton Sq, Medford, NJ 08055-3366 | 2011-06-10 |
| 1073835377 | Center for Senior Wellness, Francis R. Murphy, M.d., LLC | Psychiatry & Neurology | 105 Atsion Rd Unit H, Medford, NJ 08055-1352 | 2010-02-27 |
| 1821257841 | Gail Alexander | Psychiatry & Neurology | 1005 East Main St, Medford, OR 97504 | 2008-06-05 |
| 1881868933 | Margo Christiane Funk | Psychiatry & Neurology | 691 Murphy Rd, Suite 218, Asante Physician Partners, Medford, OR 97504 | 2008-04-19 |
| 1902003080 | Sunny Kim | Psychiatry & Neurology | 503 Airport Rd Ste 101, Medford, OR 97504-4159 | 2007-07-02 |
| Find all providers in MEDFORD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.