Glen M Adams LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

00-06P Issued in AR

Legal business name

GLEN M ADAMS LLC

Practice address

1120 S Main St
Searcy, AR 72143-7319

Phone

(501) 305-1245

Fax

(501) 279-4319

NPI assigned

Jun 11, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Glen M Adams, PSYD

Title

President/Owner

Phone

(501) 305-1245

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1244678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244678400000",
    "number": "1023245545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 090110",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532090110",
            "telephone_number": "888-675-2364",
            "fax_number": "414-247-9004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 S MAIN ST",
            "city": "SEARCY",
            "state": "AR",
            "postal_code": "721437319",
            "telephone_number": "501-305-1245",
            "fax_number": "501-279-4319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLEN M ADAMS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-11",
        "last_updated": "2009-06-11",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "GLEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "501-305-1245",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "AR",
            "license": "00-06P",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Elizabeth Gibson
• Duane Gill, CRNA
• Linda Gail Gillham, RT
• Elise Marie Gisler, MS, RDN, LD
• Rita Diane Glaze, CIT
• Rebecca Dawn Goad
• Farrell Godwin, M.S., CCC-SLP
• Zachary Godwin
• Spencer Goering, DO
• James Henry Golleher Sr., M.D.

• Clinic/Center in Searcy, AR
• Providers in Searcy, AR by specialty
• Clinic/Center in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.