DR. GLEN R. ELLIOTT


Address: 650 Clark Way, Palo Alto, CA 94304-2300
Phone: 6506883649

DR. GLEN R. ELLIOTT (NPI# 1104939503) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104939503
Entity Type Individual
Full Name DR. GLEN R. ELLIOTT
Credential PH.D., M.D.
Practice Address 650 Clark Way
Palo Alto
CA 94304-2300
Practice Telephone 6506883649
Practice Fax Number 6506883669
Mailing Telephone 6506883649
Mailing Fax Number 6506883669
Enumeration Date 2006-08-17
Last Update Date 2010-11-10
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2084P0800X Psychiatry & Neurology
Specialization: Psychiatry
G44741 CA Allopathic & Osteopathic Physicians
Y 2084P0804X Psychiatry & Neurology
Specialization: Child & Adolescent Psychiatry
G44741 CA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CA 00G447410 05

Other Providers GLEN ELLIOTT

NPI Name Taxonomy Address Enumeration
1851383830 Glen W Elliott Optometrist 825 5th Ave, Suite 102, Chambersburg, PA 17201-4213 2005-08-17

Office Location

Street Address 650 CLARK WAY
City PALO ALTO
State CA
Zip Code 94304-2300

Providers in the same location

NPI Name Taxonomy Address Enumeration
1124631197 Sarah Newman Marriage & Family Therapist 650 Clark Way, Palo Alto, CA 94304-2300 2020-08-28
1992318679 Nicole Wdowiak Speech-Language Pathologist 650 Clark Way, Palo Alto, CA 94304-2300 2020-08-24
1003436023 Holly Weldon Student in an Organized Health Care Education/Training Program 650 Clark Way, Palo Alto, CA 94304-2300 2020-04-20
1548889629 Cara Marie Diclemente Student in an Organized Health Care Education/Training Program 650 Clark Way, Palo Alto, CA 94304-2300 2020-04-09
1568091791 Lauren Adelyn Cohen Student in an Organized Health Care Education/Training Program 650 Clark Way, Palo Alto, CA 94304-2300 2020-04-08
1053942862 Eric Loughhead Counselor 650 Clark Way, Palo Alto, CA 94304-2300 2020-01-30
1558902502 Moran Shoham Student in an Organized Health Care Education/Training Program 650 Clark Way, Palo Alto, CA 94304-2300 2019-10-01
1235797705 Dariah Simone Brown Counselor 650 Clark Way, Palo Alto, CA 94304-2300 2019-05-30
1174187934 Virginia Diane Peisch Student in an Organized Health Care Education/Training Program 650 Clark Way, Palo Alto, CA 94304-2300 2019-04-26
1083278923 Madison Sunnquist Counselor 650 Clark Way, Palo Alto, CA 94304-2300 2019-04-25
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1477170611 Richard Engdahl Specialist/Technologist, Other 820 Quarry Road, Mc1078 Hf006, Palo Alo, CA 94304 2020-07-04
1720603582 Lily Wenya Zhou Psychiatry & Neurology 780 Welch Road, Suite 350, Stanford Stroke Center, Palo Alto, CA 94304 2020-06-08
1033738521 Perry Seo Choi Student in an Organized Health Care Education/Training Program Dept of Cardiothoracic Surgery, Falk Building, 870 Quarry Rd, Palo Alto, CA 94304 2020-04-14
1073150355 Tara Mcdermott Nurse Practitioner 500 Pasteur Drive, Cardiovascular Intensive Care Unit, Palo Alto, CA 94304 2019-12-05
1811542723 Mark Henry Chubb Pediatrics Stanford Children's Health, 725 Welch Road, Palo Alto, CA 94304 2019-08-07
1194285114 Cora Steindl Nurse Practitioner 300 Pasteur Drive Rm H2512, Stanford, CA 94304 2019-03-25
1407333057 Deborah Menet Landi Social Worker Lucile Packard Children's Hospital Stanford, 725 Welch, Mc 5933, Palo Alto, CA 94304 2018-07-26
1982100798 Jonathan Hootman Student in an Organized Health Care Education/Training Program 900 Quarry Road Extension, Palo Alto, CA 94304 2018-04-02
1093234254 Adam C Maclellan Psychiatry & Neurology Stanford Stroke Center, 780 Welch Road, Suite 350, Palo Alto, CA 94304 2017-09-19
1194248153 Chanel Beaudoin Cloutier Plastic Surgery 770 Welch Road, Suite 400, Palo Alto, CA 94304 2017-07-21
Find all providers in zip 94304

Taxonomy Information

Taxonomy Code 2084P0804X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Child & Adolescent Psychiatry

Taxonomy Definition

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1255871182 Carol R Harrus Psychiatry & Neurology 517 Patricia Ln, Palo Alto, CA 94303-2856 2017-02-25
1295059871 John Leikauf Psychiatry & Neurology 630 University Ave Ste A, Palo Alto, CA 94301-2019 2010-03-25
1588786297 Harold Robert Novotny Psychiatry & Neurology 1736 Oak Creek Drive, Apt 405, Palo Alto, CA 94304-2115 2007-04-04
1609844539 Sarita Pulkit Patel Psychiatry & Neurology 550 Hamilton Avenue, Suite 210, Palo Alto, CA 94301 2006-03-08
1144675851 Tatiana Mefford Psychiatry & Neurology 401 Quarry Rd, Palo Alto, CA 94304-1419 2016-05-01
1457715542 Psychiatric Center for Human Concerns Psychiatry & Neurology 350 Cambridge Ave, Suite 200, Palo Alto, CA 94306-1550 2016-04-05
1467827741 Tamar Green Psychiatry & Neurology 725 Welch Rd, Palo Alto, CA 94304-1601 2015-12-11
1376983379 Nancy Leigh Hillis Psychiatry & Neurology 900 Welch Rd, Suite 203, Palo Alto, CA 94304-1805 2013-07-05
1548552979 Thomas Butler Psychiatry & Neurology 401 Quarry Rd, Palo Alto, CA 94304-1419 2011-05-03
1841426343 Soudabeh Givrad Psychiatry & Neurology 725 Welch Rd, Palo Alto, CA 94304-1601 2009-06-10
Find all providers in PALO ALTO

Competitor

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City PALO ALTO
Zip Code 94304

Improve Information

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Dataset Information

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.

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