Individual provider Active NPI

Christopher J McGlinn, PHD

  • Psychologist
  • Wilmington, DE
National Provider Identifier
1093966574
Registry record updated May 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS016470 Issued in PA
Practice address
1415 Foulk Rd
Suite 104
Wilmington, DE 19803-2748
Phone
(302) 478-1450
Fax
(302) 478-1430
NPI assigned
Oct 2, 2008
Last updated
May 9, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PS016470 PA Primary

Addresses

Primary practice location

1415 Foulk Rd
Suite 104
Wilmington, DE 19803-2748

Mailing address

1415 Foulk Rd
Suite 104
Wilmington, DE 19803-2748
Phone (302) 478-1450

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170705000882 DE Practitioner - Clinical Psychologist 0042589392 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Psychiatry Delaware Company LLCGroup PAC ID 6204143878, 9 clinicians

Practice addresses (Care Compare)

1415 Foulk Rd
Suite 104
Wilmington, DE 19803-2748
Phone (302) 478-1450

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PS016470PAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Psychiatry Delaware Company LLC CurrentSince Apr 25, 2017 Accepting new patients

Locations

1415 Foulk Rd
Ste 104
Wilmington, DE 19803
Phone (302) 478-1450

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1222905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494288000000",
    "number": "1093966574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 FOULK RD",
            "address_2": "SUITE 104",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198032748",
            "telephone_number": "302-478-1450",
            "fax_number": "302-478-1430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 FOULK RD",
            "address_2": "SUITE 104",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198032748",
            "telephone_number": "302-478-1450",
            "fax_number": "302-478-1430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGLINN",
        "first_name": "CHRISTOPHER",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-10-02",
        "last_updated": "2017-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS016470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.