GLENN JOHNSON (NPI# 1710391719) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710391719 |
| Entity Type | Individual |
| Full Name | GLENN JOHNSON |
| Practice Address |
118 Maupin Cir Shelbyville TN 37160-3781 |
| Practice Telephone | 9316807576 |
| Practice Fax Number | 9315364346 |
| Mailing Telephone | 9316807576 |
| Mailing Fax Number | 9315364346 |
| Enumeration Date | 2014-06-17 |
| Last Update Date | 2014-06-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
PE0000001718 | TN | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003093683 | Glenn A. Johnson | Physical Therapist | 808 E Justin Dr, Sioux Falls, SD 57108-4646 | 2008-01-26 |
| 1225235997 | Glenn Edwin Johnson | Chiropractor | 1665 S Brookhurst St, Suite J, Anaheim, CA 92804-6000 | 2007-06-27 |
| 1063441434 | Glenn Dwight Johnson | Otolaryngology | Dartmouth-hitchcock Medical Center, One Medical Center Drive, Lebanon, NH 03756-0001 | 2006-06-30 |
| 1417950569 | Glenn Ray Johnson | Orthopaedic Surgery | 901 Montgomery St, Decorah, IA 52101-2325 | 2005-05-23 |
| 1710249255 | Glenn Phelps Johnson Jr. | Counselor | 137 N Cottonwood St, Suite 1530, Woodland, CA 95695-6646 | 2012-06-11 |
| 1942480306 | Glenn A Johnson | Chiropractor | 500 9th Ave, Suite 5, Longmont, CO 80501-4598 | 2007-11-13 |
| 1609909829 | Glenn Roger Johnson | Psychologist | 256 Concord Ave, Cambridge, MA 02138-1337 | 2007-03-14 |
| 1265583751 | Glenn D Johnson | Chiropractor | 10321 Kingston Pike, Knoxville, TN 37922-3224 | 2007-01-13 |
| 1508958281 | Glenn Everett Johnson | Dentist | 2478 Patterson Road, Suite 24, Grand Junction, CO 81505 | 2006-09-29 |
| 1710929765 | Glenn Albert Johnson | Speech-Language Pathologist | 2611 Ne 125th St, Suite 225, Seattle, WA 98125-4373 | 2006-06-12 |
| Street Address |
118 MAUPIN CIR |
| City | SHELBYVILLE |
| State | TN |
| Zip Code | 37160-3781 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609803550 | Jacqueline Chapman North | Psychologist | 118 Maupin Cir, Shelbyville, TN 37160-3781 | 2006-06-27 |
| 1659847978 | Geriatric Psychology Affiliates LLC | Psychologist | 118 Maupin Cir, Shelbyville, TN 37160-3781 | 2018-10-15 |
| 1417483421 | Geriatric Psychology Affiliates LLC | Psychologist | 118 Maupin Cir, Shelbyville, TN 37160-3781 | 2017-05-11 |
| 1114164621 | Medical Psychology Consultants, LLC | Psychologist | 118 Maupin Cir, Shelbyville, TN 37160-3781 | 2009-01-21 |
| 1134202146 | Jeff Daugherty | Psychologist | 118 Maupin Cir, Shelbyville, TN 37160-3781 | 2006-10-23 |
| 1548291370 | Robert M North Sr. | Psychologist | 118 Maupin Cir, Shelbyville, TN 37160-3781 | 2006-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255821310 | Middle Tennessee Support Services, LLC | Community Based Residential Treatment Facility, Mental Illness | 375 Uselton Road, Shelbyville, TN 37160 | 2018-05-15 |
| 1194224998 | Stephen Blake Feldhaus | Nurse Practitioner | 112 Airport Business Park Rd, Ste H, Shelbyville, TN 37160 | 2018-02-07 |
| 1285158519 | Angelique Lynn Oliver | Case Management | 604 S. Wall St., Shelbyville, TN 37160 | 2017-07-28 |
| 1215476445 | Acts of Kindness | Home Health | 213 Lane Parkway, Shelbyville, TN 37160 | 2017-02-21 |
| 1255727681 | Nancy Elizabeth Hudson | Counselor | 117 Mcgrew Street, Shelbyville, TN 37160 | 2015-04-13 |
| 1699177956 | Shelbyville Medical Group, Pllc | Family Medicine | 221 Lane Parkway, Shelbyville, TN 37160 | 2014-09-18 |
| 1154637122 | Digestive Healthcare of Central Tennessee, Pllc | Internal Medicine | 112 Airport Business Park Drive, Suite G, Shelbyville, TN 37160 | 2010-08-27 |
| 1871791293 | Frank L Jayakody Md PC | Family Medicine | 1701 North Main St, Shelbyville, TN 37160 | 2007-07-06 |
| 1871794222 | Glen Oaks, LLC | Skilled Nursing Facility | 1101 Glenoaks Rd, Shelbyville, TN 37160 | 2007-05-31 |
| 1346459385 | Chamberland Dentistry PC | Preferred Provider Organization | 1006 Colloredo Blvd, Shelbyville, TN 37160 | 2007-05-22 |
| Find all providers in zip 37160 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467918219 | Misti Powell Edelen | Psychologist | 1028 Main St, Shelbyville, KY 40065-1315 | 2019-02-18 |
| 1538642871 | Montina Herbert | Psychologist | 157 W Washington St, Shelbyville, IN 46176-1245 | 2018-09-12 |
| 1275643637 | Pamela Burns Andrews | Psychologist | 543 Main St, Shelbyville, KY 40065-1119 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720609498 | Kevin Matthew Fry | Psychologist | 208 Conference Center Building 600 Henley Street, Knoxville, TN 37996-0001 | 2020-05-04 |
| 1013536762 | Angela N Hilton | Psychologist | 1400 N 6th Ave Ste A7, Knoxville, TN 37917-6043 | 2020-04-13 |
| 1306477963 | Ecounseling Connection, Pllc | Psychologist | 1050 Glenbrook Way Ste 480-406, Hendersonville, TN 37075-1241 | 2020-01-31 |
| 1457991093 | Cynthia Gay Luther | Psychologist | 702 Weakley Ln, Smyrna, TN 37167-4805 | 2020-01-12 |
| 1962044198 | Mary B Beasley | Psychologist | 1080 Little Marrowbone Rd, Ashland City, TN 37015 | 2019-10-09 |
| 1427603554 | University of Memphis | Psychologist | 4055 North Park Loop, Suite 1000, Memphis, TN 38152 | 2019-08-06 |
| 1134639636 | Jennifer A Moore | Psychologist | 310 S Walnut Bend Rd Ste 2, Cordova, TN 38018-7282 | 2017-10-10 |
| 1104360049 | Calisha Brooks | Psychologist | 7220 Autumn Crossing Way, Brentwood, TN 37027-8828 | 2016-12-12 |
| 1770843369 | Eric D Manley | Psychologist | 420 W Morris Blvd Ste 130, Morristown, TN 37813-2255 | 2012-05-17 |
| 1518254168 | Kalpana Gowda | Psychologist | 304b Uptown Sq Ste 4, Murfreesboro, TN 37129-0574 | 2011-07-05 |
| Find all providers with the same taxonomy | ||||
| City | SHELBYVILLE |
| Zip Code | 37160 |
Please comment or provide details below to improve the information on GLENN JOHNSON.
| 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.