Glenn a Feltz, Psy.D., LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

3924 Issued in OH

Legal business name

GLENN A FELTZ, PSY.D., LLC

Practice address

6792 Quarterhorse Dr
Springboro, OH 45066-7780

Phone

(937) 206-6502

NPI assigned

Sep 7, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Glenn A Feltz, PSY.D.

Title

Owner

Phone

(937) 206-6502

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1536278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536278400000",
    "number": "1033692926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11",
            "address_2": "6792 QUARTERHORSE DRIVE",
            "city": "SPRINGBORO",
            "state": "OH",
            "postal_code": "45066",
            "telephone_number": "937-206-6502",
            "fax_number": "937-550-4106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6792 QUARTERHORSE DR",
            "city": "SPRINGBORO",
            "state": "OH",
            "postal_code": "450667780",
            "telephone_number": "937-206-6502"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "430 S Main St",
            "address_purpose": "LOCATION",
            "city": "Urbana",
            "state": "OH",
            "postal_code": "430782402",
            "country_code": "US",
            "telephone_number": "937-206-6502",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GLENN A FELTZ, PSY.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-07",
        "last_updated": "2018-09-07",
        "status": "A",
        "authorized_official_last_name": "FELTZ",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "937-206-6502",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "OH",
            "license": "3924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsi Nikole Gerdeman, FNP-C, ENP-C
• Kirsten Gibson
• Julie Gillespie, MS, PC
• Jessica Givan
• Mirranda L Glaskox, CT
• Scott A Goeller, DO
• Debra Nanette Gold, OTR/L
• Samantha Sue Gingerich Goley, MS, LPC
• Danielle Gorsky, AU.D.
• Grabeman & Striebel PLL

• Psychologist in Springboro, OH
• Providers in Springboro, OH by specialty
• Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2018; 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.