GLEN P AYLWARD (NPI# 1649252495) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649252495 |
| Entity Type | Individual |
| Full Name | GLEN P AYLWARD |
| Credential | PH.D |
| Practice Address |
301 N 8th St Springfield IL 62701-1041 |
| Mailing Address |
Po Box 19658 Springfield IL 62794-9658 |
| Practice Telephone | 2175452618 |
| Practice Fax Number | 2175455834 |
| Mailing Telephone | 2175452618 |
| Mailing Fax Number | 2175455834 |
| Enumeration Date | 2005-11-17 |
| Last Update Date | 2018-09-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TC0700X |
Psychologist Specialization: Clinical |
071-002533 | IL | Behavioral Health & Social Service Providers |
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
071-002533 | IL | Behavioral Health & Social Service Providers |
| Street Address |
301 N 8TH ST |
| City | SPRINGFIELD |
| State | IL |
| Zip Code | 62701-1041 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578565420 | Samuel Poriza Au | Radiology | 301 N 8th St, Springfield, IL 62701-1041 | 2005-08-11 |
| 1073148375 | Ashley Kirkpatrick | Nurse Practitioner | 301 N 8th St, Springfield, IL 62701-1041 | 2020-03-06 |
| 1699260299 | Eman Mosleh | Pediatrics | 301 N 8th St, Springfield, IL 62701-1041 | 2018-06-26 |
| 1508370719 | Linsey Meloche | Nurse Practitioner | 301 N 8th St, Springfield, IL 62701-1041 | 2017-11-27 |
| 1649789736 | Nichole Kristine Chatham | Occupational Therapist | 301 N 8th St, Springfield, IL 62701-1041 | 2017-09-21 |
| 1174075147 | Loralee Donnelly | Nurse Practitioner | 301 N 8th St, Springfield, IL 62701 | 2016-10-26 |
| 1740639533 | Matthew Leland Davis | Urology | 301 N 8th St, Springfield, IL 62701-1041 | 2016-06-13 |
| 1578910741 | Bradley Christopher Holland | Urology | 301 N 8th St, 4b143c, Springfield, IL 62701-1041 | 2016-05-18 |
| 1295182467 | Meredith Volle | Pediatrics | 301 N 8th St, 4a, Springfield, IL 62701-1041 | 2016-05-18 |
| 1205299542 | Rebecca S. Vanmeter | Nurse Practitioner | 301 N 8th St, Springfield, IL 62701-1041 | 2016-04-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932687183 | Affinity Patient Coordination LLC | In Home Supportive Care | 217 E Monroe St Ste 102, Springfield, IL 62701 | 2018-07-31 |
| 1427498435 | Donald L Jacoby | Pharmacist | 701 N. First St., Springfield, IL 62701 | 2013-07-05 |
| 1700183480 | Erin Zepp | Dietitian, Registered | 319 E Madison St Ste 1f, Springfield, IL 62701 | 2011-02-16 |
| 1518117159 | Jyoti Assudani | Pediatrics | 301 N 8th Street, Springfield, IL 62701 | 2008-09-19 |
| 1396924148 | Jeanne Lyn Malone | Counselor | 408 South Fifth Street, Springfield, IL 62701 | 2007-10-29 |
| 1942422928 | Nobuharu Harada | Family Medicine | 301 N 8th, Pav-3a158, Springfield, IL 62701 | 2007-05-02 |
| 1427131127 | Radiological Associates of Decatur | Radiology | 319 E Madison Suite J, Springfield Mri & Imaging Center, Springfield, IL 62701 | 2006-10-24 |
| 1669498606 | Independence Holding Co LLC | Pharmacy | 201 North 5th Street, Springfield, IL 62701 | 2006-07-14 |
| 1720070238 | Neil J. Thomas | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 619 E Mason St Ste 4p57, Springfield, IL 62701 | 2005-08-19 |
| 1588187397 | Andrea Nicole Bloodworth | Internal Medicine | 619 E Mason St Ste 4p57, Springfield, IL 62701 | 2017-07-24 |
| Find all providers in zip 62701 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689103715 | Jessica Elizabeth Woods | Psychologist | 69 Worrell Dr, Springfield, PA 19064-3346 | 2017-06-12 |
| 1518281575 | Maura Lynn Gomez | Psychologist | 71 Colfax Rd, Springfield, NJ 07081-1118 | 2010-03-19 |
| 1902993884 | Kathleen O Galarza | Psychologist | 1130 Vester Ave, Suite C, Springfield, OH 45503-7302 | 2006-10-10 |
| 1912550146 | Leslee Rae Uhrich | Psychologist | 3300 Main Street, 4th Fl, Springfield, MA 01107-1112 | 2019-07-17 |
| 1922556372 | Colleen Brown | Psychologist | 1489 Baltimore Pike, Suite 250, Springfield, PA 19064-3958 | 2016-09-14 |
| 1376994079 | Loren Wright | Psychologist | 1695 Main St, # 400, Springfield, MA 01103-1348 | 2016-06-24 |
| 1982943205 | Karyn Hall Ewart | Psychologist | 8519 Tuttle Rd, Building B, Springfield, VA 22152-1508 | 2013-02-06 |
| 1790078483 | Kimberly Lipson Pollock | Psychologist | 5220 S 6th Street Rd, Springfield, IL 62703-5735 | 2011-05-27 |
| 1770891954 | Jennifer Carolina Macgregor | Psychologist | 300 Carew Street, Ste 2, Springfield, MA 01104 | 2010-09-21 |
| 1518190222 | Kelly Ann Maynes | Psychologist | 3300 Main St, 4th Floor, Ste A, Springfield, MA 01107-1112 | 2009-08-27 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 62701 |
Please comment or provide details below to improve the information on GLEN P AYLWARD.
| 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.