Active NPI
Robert T. Glenn, PH.D.
- Marriage & Family Therapist
- Pinellas Park, FL
National Provider Identifier
1154468148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MT 0168
- Practice address
- 5444 Park Blvd
Suite 201
Pinellas Park, FL 33781-3300 - Phone
- (727) 698-7549
- NPI assigned
- Jan 31, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MT 0168 | FL | Primary |
Addresses
Primary practice location
5444 Park Blvd
Suite 201
Pinellas Park, FL 33781-3300
Mailing address
13740 Oak Forest Blvd N
Seminole, FL 33776-3413
Phone (727) 392-7554
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT 0168 | FL | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1154468148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13740 OAK FOREST BLVD N",
"city": "SEMINOLE",
"state": "FL",
"postal_code": "337763413",
"telephone_number": "727-392-7554"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5444 PARK BLVD",
"address_2": "SUITE 201",
"city": "PINELLAS PARK",
"state": "FL",
"postal_code": "337813300",
"telephone_number": "727-698-7549"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLENN",
"first_name": "ROBERT",
"middle_name": "T.",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "FL",
"license": "MT 0168",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pinellas Park, FL
Sources for this page
- 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.