GLENN D SHEAN (NPI# 1427152529) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427152529 |
| Entity Type | Individual |
| Full Name | GLENN D SHEAN |
| Credential | LCP |
| Practice Address |
6515 George Washington Mem Hwy Ste 100 Grafton VA 23692-2182 |
| Mailing Address |
Po Box 1069 Grafton VA 23692-1069 |
| Practice Telephone | 7578779140 |
| Practice Fax Number | 7578773925 |
| Mailing Telephone | 7578779140 |
| Mailing Fax Number | 7578773925 |
| Enumeration Date | 2006-09-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
0107000605 | VA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ANTHEM | 017162 | 01 | |
| VALUE OPTIONS | 001979 | 01 | |
| VA | 7746563 | 05 |
| Street Address |
6515 GEORGE WASHINGTON MEM HWY STE 100 |
| City | GRAFTON |
| State | VA |
| Zip Code | 23692-2182 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396757548 | Michele L Baldwin | Social Worker | 6515 George Washington Mem Hwy, Ste 100, Grafton, VA 23692-2182 | 2006-08-13 |
| 1386656486 | Rhonda T Sproles | Social Worker | 6515 George Washington Mem Hwy, Ste 100, Grafton, VA 23692-2182 | 2006-08-13 |
| 1326050576 | Catherine D Smithson | Social Worker | 6515 George Washington Mem Hwy, Ste 100, Grafton, VA 23692-2182 | 2006-08-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114400884 | Mary Amanda Gray | Dietitian, Registered | 5306 Old Virginia Street, Urbanna, VA 23692 | 2018-09-10 |
| 1932687142 | Janice Stewart | Counselor | 3804 George Washington Mem Hwy, Yorktown, VA 23692 | 2018-07-31 |
| 1679063523 | Heritage Pharmacy LLC | Pharmacy | 5922b George Washington Mem Hwy, Yorktown, VA 23692 | 2018-05-16 |
| 1437655461 | Kroger Limited Partnership I | Durable Medical Equipment & Medical Supplies | 6500 George Washington Mem Hwy Ste C, Grafton, VA 23692 | 2018-03-30 |
| 1730571985 | Sentara Medical Group | Internal Medicine | 100 Enterprise Dr, Yorktown, VA 23692 | 2015-02-25 |
| 1427392315 | Anna Katherina Ristow | Specialist/Technologist | 9300 George Washington Ave, Yorktown, VA 23692 | 2012-11-16 |
| 1225340714 | Jamie Banuski | Voluntary or Charitable | 7307 George Washington Mem Hwy, Pmb511, Yorktown, VA 23692 | 2010-07-13 |
| 1174719793 | Grafton Smile Care | Clinic/Center | 4030 - A George Washington Hwy, Grafton, VA 23692 | 2007-09-18 |
| 1497949713 | Sayward E. Duggan Dds Ms PC | Clinic/Center | 4310 George Washington Memorial Highway, Yorktown, VA 23692 | 2007-08-29 |
| 1679691307 | Carol A. Pittman | Dentist | 4310 George Washington Hwy, Yorktown, VA 23692 | 2007-03-27 |
| Find all providers in zip 23692 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376944892 | Michael Russo | Psychologist | 2500 Avon Belden Rd, Grafton, OH 44044-9802 | 2014-09-16 |
| 1144505231 | Heidi Jo Madsen | Psychologist | 701 W 6th St, Grafton, ND 58237-1379 | 2011-10-20 |
| 1265576680 | Paul Douglas Kolstoe | Psychologist | 701 W 6th St, Grafton, ND 58237-1379 | 2007-02-18 |
| 1740347608 | Brian William Bradley | Psychologist | 101 Falls Rd, Suite 404, Grafton, WI 53024-2612 | 2007-01-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710593603 | Tina Tehrani Nawaz | Psychologist | 23909 Heather Meadow Dr, Ashburn, VA 20148-1767 | 2020-09-16 |
| 1942813720 | David Rothman | Psychologist | 2000 Wilkes Drive, Richomd, VA 23233 | 2020-08-31 |
| 1174135917 | Elizabeth Dehart Richardson | Psychologist | 3023 Arrowhead Rd, Rockingham, VA 22801-8682 | 2020-08-22 |
| 1558973131 | Saharay Elizabeth Martinez | Psychologist | 26 Zenith Loop, Newport News, VA 23601-1270 | 2020-08-17 |
| 1881204097 | Maria Elena Burke | Psychologist | 108 Colonels Way, Williamsburg, VA 23185-5105 | 2020-08-03 |
| 1699385013 | Celeste Macdonald Kelly | Psychologist | 250 Wylderose Cmns, Midlothian, VA 23113-6883 | 2020-08-01 |
| 1811515794 | Thomas Craig Foster Jr. | Psychologist | 115 Bulifants Blvd Ste A, Williamsburg, VA 23188-5720 | 2020-07-08 |
| 1225655012 | Drew Taylor Bassett | Psychologist | 1970 Roanoke Blvd # 116b1, Salem, VA 24153-6404 | 2020-06-29 |
| 1851917843 | Nathaniel Andrew | Psychologist | 3112 Honeywood Ln Apt E, Roanoke, VA 24018-8853 | 2020-06-25 |
| 1548886674 | Anita L Boss | Psychologist | 1200 Prince St, Alexandria, VA 22314-2936 | 2020-06-24 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on GLENN D SHEAN.
| 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.