GLEN ROBERT TAYLOR (NPI# 1407342520) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407342520 |
| Entity Type | Individual |
| Full Name | GLEN ROBERT TAYLOR |
| Practice Address |
275 W 12th St Peru IN 46970-1638 |
| Mailing Address |
508 Apache Dr Peru IN 46970-2929 |
| Practice Telephone | 7654728000 |
| Mailing Telephone | 2488077411 |
| Enumeration Date | 2018-07-02 |
| Last Update Date | 2018-07-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | Behavioral Health & Social Service Providers |
| Street Address |
275 W 12TH ST |
| City | PERU |
| State | IN |
| Zip Code | 46970-1638 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063411072 | Rhoda L Wicker | Nurse Practitioner | 275 W 12th St, Suite 103, Peru, IN 46970-1638 | 2005-07-20 |
| 1679934764 | Tanya Fondekar | Physical Therapist | 275 W 12th St, 4 West, Peru, IN 46970-1638 | 2016-03-16 |
| 1073998571 | Robert Wayne Long IIi | Physical Therapy Assistant | 275 W 12th St, Peru, IN 46970-1638 | 2015-07-25 |
| 1811309537 | Bhavikkumar Shukla | Physical Therapist | 275 W 12th St, 4 West, Peru, IN 46970-1638 | 2014-05-29 |
| 1962750281 | Amanda Lynn Gruss | Physical Therapy Assistant | 275 W 12th St, Peru, IN 46970 | 2012-08-16 |
| 1720315781 | Pain Management Center of Southern Indiana | Anesthesiology | 275 W 12th St, Suite 206, Peru, IN 46970-1638 | 2009-11-12 |
| 1427298330 | Innovative Hospital Care Inc | Hospitalist | 275 W 12th St, Peru, IN 46970-1638 | 2009-03-05 |
| 1750558136 | Eamonn M Keane | Family Medicine | 275 W 12th St, Peru, IN 46970-1638 | 2008-05-14 |
| 1194994582 | Cancer Care Group, P.C. | Radiology | 275 W 12th St, Peru, IN 46970-1638 | 2008-02-29 |
| 1962682997 | Blair Emergency Physicians | Emergency Medicine | 275 W 12th St, Peru, IN 46970-1638 | 2007-11-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447896311 | Christina M Van Meter | Pharmacist | 930 W Main St., Peru, IN 46970 | 2019-11-26 |
| 1821554585 | Thomas Gilbert Reaves | Counselor | 5851 S. Us-31, Lot 47, Peru, IN 46970 | 2019-02-18 |
| 1104154863 | American Foot and Ankle Inc | Durable Medical Equipment & Medical Supplies | 632 West Main Street, Peru, IN 46970 | 2009-11-18 |
| 1629208251 | Rafik Farag | Family Medicine | 1694 W Logansport Rd., Community Health Center of Miami County, Peru, IN 46970 | 2009-07-16 |
| 1508076050 | Peggy L Wert | Occupational Therapy Assistant | 850 Matador Drive, Peru, IN 46970 | 2007-05-23 |
| 1972690634 | Sherif Elmasry | Pediatrics | 655 N Broadway, Peru, IN 46970 | 2006-10-06 |
| 1548357320 | Belinda Diane Stonger | Hearing Instrument Specialist | 1 S. Broadway, Peru, IN 46970 | 2006-10-05 |
| 1134214083 | American Health Network of Indiana, LLC | Durable Medical Equipment & Medical Supplies | 315 West Old Key Drive, Peru, IN 46970 | 2006-10-04 |
| 1710082409 | Thomas J Guthrie | Dentist | 5 West Logan Street, Peru, IN 46970 | 2006-09-14 |
| 1750921938 | Christina Russell | Counselor | 1000 N Broadway Ste A, Peru, IN 46970 | 2020-01-15 |
| Find all providers in zip 46970 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366487621 | Kendall Toney | Psychologist | 655 E Main St, Peru, IN 46970-2662 | 2006-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689273849 | Anahli Mayank Patel | Psychologist | 550 University Blvd Ste 1602, Indianapolis, IN 46202-5149 | 2020-10-20 |
| 1861006587 | Dr Michael Jones Psychological Associates, LLC | Psychologist | 8510 Evergreen Ave Ste 106, Indianapolis, IN 46240-2338 | 2020-09-01 |
| 1477171122 | Ellen Vaughan | Psychologist | 201 N Rose Ave Rm 4054, Bloomington, IN 47405-1005 | 2020-07-09 |
| 1881222016 | Ericka Swanson Psyd Inc. | Psychologist | 9305 Calumet Ave Ste A2, Munster, IN 46321-2888 | 2020-04-01 |
| 1184251316 | Pei-yi Lin | Psychologist | 9504 Rachel Dr, Yorktown, IN 47396-9826 | 2020-03-26 |
| 1679109383 | Christina Chico | Psychologist | 1 Park Row St, Michigan City, IN 46360-6597 | 2020-03-14 |
| 1457998007 | Ne Psychological LLC | Psychologist | 6343 Constitution Dr, Fort Wayne, IN 46804-1547 | 2019-12-03 |
| 1124674908 | Indianapolis Neurobehavioral Health Center LLC | Psychologist | 921 E. 86th St., Suite 210 C, Indianapolis, IN 46240 | 2019-08-16 |
| 1295205615 | Monumental Behavioral Health Inc | Psychologist | 1201 N Post Rd Ste C, Indianapolis, IN 46219-4246 | 2018-11-28 |
| 1528536083 | Rebecca Martinez Reid | Psychologist | 2201 E Woodstock Pl, Bloomington, IN 47401-6180 | 2018-11-02 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on GLEN ROBERT TAYLOR.
| 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.