DR. CLYDE E GLENN (NPI# 1982612164) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982612164 |
| Entity Type | Individual |
| Full Name | DR. CLYDE E GLENN |
| Credential | M.D. |
| Practice Address |
357 Towne Center Pl Ste 400 Ridgeland MS 39157-4844 |
| Mailing Address |
Po Bx 1276 Madison MS 39130 |
| Practice Telephone | 8885613380 |
| Practice Fax Number | 8887326141 |
| Mailing Telephone | 8885613380 |
| Mailing Fax Number | 8887326141 |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2019-11-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
15747 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 08237869 | 05 |
| Street Address |
357 TOWNE CENTER PL STE 400 |
| City | RIDGELAND |
| State | MS |
| Zip Code | 39157-4844 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972087864 | Tiffany T Lovelady Counseling | Counselor | 357 Towne Center Pl Ste 400, Ridgeland, MS 39157-4844 | 2018-09-18 |
| 1548797889 | Lotus Place Counseling LLC | Counselor | 357 Towne Center Pl Ste 400, Ridgeland, MS 39157-4844 | 2017-05-17 |
| 1851757140 | Tiffany T Lovelady | Counselor | 357 Towne Center Pl Ste 400, Ridgeland, MS 39157 | 2016-01-03 |
| 1528265246 | Rehoboth Psychiatric Services, Pllc | Psychiatry & Neurology | 357 Towne Center Pl Ste 400, Ridgeland, MS 39157-4844 | 2007-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124631023 | Mychell Thomas | Licensed Practical Nurse | 199 Charmant Place, Ridgeland, MS 39157 | 2020-08-28 |
| 1225680945 | Verthena Edwards | Home Health | 301 Pinehurst Cir, N/a, Ridgeland, MS 39157 | 2019-07-12 |
| 1730663469 | Essential Touchtones | Psychologist | 210 W. Jackson Street, Ridgeland, MS 39157 | 2018-09-19 |
| 1841786365 | Whitney Paige Crum | Speech-Language Pathologist | Laskin Therapy Group Pa, 207 W Jackson St, Ridgeland, MS 39157 | 2018-07-09 |
| 1811487002 | Camille Brockett | Social Worker | 270 Trace Colony Park Dr Ste B, Ridgeland, MS 39157 | 2018-05-14 |
| 1588171177 | Layson Counseling Group, Pllc | Counselor | 573 Hwy 51 Suite B, Ridgeland, MS 39157 | 2018-01-04 |
| 1407376452 | Mobility Rehab LLC | Clinic/Center | 745 S Pear Orchard Road, Apt 335, Ridgeland, MS 39157 | 2017-06-21 |
| 1184165102 | Sinus and Allergy Institute Pllc | Otolaryngology | 1115 Highland Colony Parkway, Suite C, Ridgeland, MS 39157 | 2017-03-09 |
| 1093263410 | Natural Health Project LLC | General Practice | 555 Highway 51, Ridgeland, MS 39157 | 2016-09-14 |
| 1851755714 | Jerlunda Lynn Dudley | Social Worker | 511 Clark Street, Rosedale, MS 39157 | 2016-04-07 |
| Find all providers in zip 39157 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548494263 | Glenda Jean Scallorn | Psychiatry & Neurology | 315 Holley Ln, Ridgeland, MS 39157-3547 | 2009-05-09 |
| 1285836528 | Fawaz Abdrabbo Md | Psychiatry & Neurology | 576 Highland Colony Pkwy Ste 100, Ridgeland, MS 39157-8769 | 2007-05-31 |
| 1215158654 | Elizabeth Henderson Perry | Psychiatry & Neurology | 220 Trace Colony Park Dr, Suite B, Ridgeland, MS 39157-8810 | 2007-05-02 |
| 1053459891 | Patricia Ainsworth | Psychiatry & Neurology | 576 Highland Colony Parkway, Suite 100, Ridgeland, MS 39157-8769 | 2007-02-02 |
| 1760466551 | Fawaz Abdrabbo | Psychiatry & Neurology | 576 Highland Colony Pkwy, Ridgeland, MS 39157-8769 | 2005-12-05 |
| 1861914103 | Psych Docs, LLC | Psychiatry & Neurology | 601 Renaissance Way, Ridgeland, MS 39157-6038 | 2017-07-07 |
| 1528265246 | Rehoboth Psychiatric Services, Pllc | Psychiatry & Neurology | 357 Towne Center Pl Ste 400, Ridgeland, MS 39157-4844 | 2007-06-27 |
| 1952503286 | Mississippi Neuropsychiatric Clinic | Psychiatry & Neurology | 576 Highland Colony Pkwy Ste 100, Ridgeland, MS 39157-8769 | 2007-05-31 |
| 1598971830 | Susan Denise Younger | Psychiatry & Neurology | 576 Highland Colony Parkway, Suite 100, Ridgeland, MS 39157 | 2007-05-15 |
| 1649318486 | Mark Patrick Mclain | Psychiatry & Neurology | 576 Highland Colony Parkway, Suite 100, Ridgeland, MS 39157-8769 | 2007-02-02 |
| Find all providers in RIDGELAND | ||||
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| 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.