Glenn R Koch, MA

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PS005286L Issued in PA

Practice address

961 Marcon Blvd
Allentown, PA 18109

Phone

(610) 266-0610

Fax

(610) 266-0293

NPI assigned

Feb 5, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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

Other identifiers 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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

• Glenn R. Koch & Associates, LLC

  • Counseling Psychologist
  • Allentown, PA
  • NPI 1093122699
  NPD Authorized official
• Glenn R Koch and Associates Inc

  • Psychiatry Physician
  • Allentown, PA
  • NPI 1700949161
  NPD (past) Authorized official

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093854309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "961 MARCON BLVD",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "18109",
            "telephone_number": "610-266-0610",
            "fax_number": "610-266-0292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "961 MARCON BLVD",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "18109",
            "telephone_number": "610-266-0610",
            "fax_number": "610-266-0293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOCH",
        "first_name": "GLENN",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS005286L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL GR NUMBER",
            "identifier": "02817200",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL",
            "identifier": "01979901",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PIN",
            "identifier": "0453403000",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0016509210002",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "GL1454227",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Natalie Danielle Knowles
• Donna B Knox, LPC
• Francis Patrick Knox Jr.
• Howard J Knudson, MSPT
• Dong Ko, M.D.
• Thomas Jacob Koch, MD
• Amanda Elaine Kochan-Dewey, PSY.D.
• Jonathan Kochuba, D.O.
• Scot David Kocis, D.C.
• Kyla Koehler, COTA/L

• Psychologist in Allentown, PA
• Providers in Allentown, PA by specialty
• Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.