Active NPI
Glenn Behavioral Health Services LLC
- Psychiatry Physician
- Maplewood, NJ
National Provider Identifier
1083396949
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- GLENN BEHAVIORAL HEALTH SERVICES LLC
- Practice address
- 2115 Millburn Ave Ste 100
Maplewood, NJ 07040-3724 - Phone
- (908) 409-1965
- NPI assigned
- Aug 1, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Robert Glenn
- Title
- Ceo
- Phone
- (908) 409-1965
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | Primary |
Addresses
Primary practice location
2115 Millburn Ave Ste 100
Maplewood, NJ 07040-3724
Mailing address
2115 Millburn Ave Ste 100
Maplewood, NJ 07040-3724
Phone (908) 409-1965
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1690848000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1690848000000",
"number": "1083396949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2115 MILLBURN AVE STE 100",
"city": "MAPLEWOOD",
"state": "NJ",
"postal_code": "070403724",
"telephone_number": "908-409-1965"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2115 MILLBURN AVE STE 100",
"city": "MAPLEWOOD",
"state": "NJ",
"postal_code": "070403724",
"telephone_number": "908-409-1965"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GLENN BEHAVIORAL HEALTH SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-08-01",
"last_updated": "2023-08-01",
"certification_date": "2023-08-01",
"status": "A",
"authorized_official_last_name": "GLENN",
"authorized_official_first_name": "ROBERT",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "908-409-1965"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Maplewood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.