GLENN MICHAEL MEREPITH


Address: 421 E Allen St, Bloomington, IN 47401
Phone: 8123606998

GLENN MICHAEL MEREPITH (NPI# 1326212010) 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) 1326212010
Entity Type Individual
Full Name GLENN MICHAEL MEREPITH
Credential BEHAVIOR CLINICIAN
Practice Address 421 E Allen St
Bloomington
IN 47401
Practice Telephone 8123606998
Mailing Telephone 8123606998
Enumeration Date 2008-04-15
Last Update Date 2008-04-15
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TM1800X Psychologist
Specialization: Mental Retardation & Developmental Disabilities
Behavioral Health & Social Service Providers

Office Location

Street Address 421 E ALLEN ST
City BLOOMINGTON
State IN
Zip Code 47401

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Taxonomy Information

Taxonomy Code 103TM1800X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Mental Retardation & Developmental Disabilities

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1730353434 Indiana Evaluation Services Psychologist 2633 E Dekist St, Bloomington, IN 47408-4216 2008-04-15
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Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1407489321 Angela Sands Psychologist 8148 Devon Ave, Indianapolis, IN 46239-1595 2020-02-19
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1730357179 Elise Lillard Ipock Psychologist 414 Harrison St, West Lafayette, IN 47906-3516 2008-02-19
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1780746800 Susanne Jo Bauer Psychologist 5155 Little Flock Rd, Spencer, IN 47460-5878 2006-12-14
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Competitor

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City BLOOMINGTON
Zip Code 47401

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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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