Glen J Veed, PH.D.

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

License

071.008040 Issued in IL

Practice address

1415 Bond St
Suite 127
Naperville, IL 60563-2388

Phone

(630) 355-9002

Fax

(866) 441-1136

NPI assigned

Dec 20, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Sep 1, 2015 through Sep 1, 2027

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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• New Day Treatment Program PC

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  • NPI 1326308545
  NPD (past)

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

{
    "created_epoch": "1292803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378425600000",
    "number": "1053614784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 BOND ST",
            "address_2": "SUITE 127",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605632388",
            "telephone_number": "630-355-9002",
            "fax_number": "866-441-1136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 BOND ST",
            "address_2": "SUITE 127",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605632388",
            "telephone_number": "630-355-9002",
            "fax_number": "866-441-1136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEED",
        "first_name": "GLEN",
        "middle_name": "J",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-12-20",
        "last_updated": "2013-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "IL",
            "license": "071.008040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eboni Vaughn, FNP
• John Keith Vavrinak
• Alberto Vazquez
• Katarina Yazmin Vazquez
• Ryan John Vealey, MD
• Elizabeth Ann Veeser-Sharer, MSW
• Justin Luke Velasco
• Harshini Veldanda
• Madlena Veleva, DDS
• Diamari Noemi Velez, MSW, LCSW

• Clinical Child & Adolescent Psychologist in Naperville, IL
• Providers in Naperville, IL by specialty
• Clinical Child & Adolescent Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.