Organization Active NPI

Glom Outpatient Services Inc.

  • Adult Mental Health Clinic/Center
  • Lodi, CA
National Provider Identifier
1184592024
Registry record updated May 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
GLOM OUTPATIENT SERVICES INC.
Practice address
1111 W Tokay St Ste a
Lodi, CA 95240-3965
Phone
(925) 999-4119
NPI assigned
Oct 23, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2026

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

Authorized official

Name
Allen Turner
Title
Executive Officer
Phone
(925) 570-3282

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

1111 W Tokay St Ste a
Lodi, CA 95240-3965

Mailing address

3123 Independence Dr
Livermore, CA 94551-7595
Phone (925) 999-4119

Other practice location 1

130 W Flora St
Stockton, CA 95202-1636
Phone (925) 999-4119 ext. 66677

National Provider Directory

National Provider Directory

Locations

3123 Independence Dr
Livermore, CA 94551
Phone (209) 330-7155

130 W Flora St
Stockton, CA 95202
Phone (844) 456-6677

NPI Registry JSON

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

{
    "created_epoch": "1761177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779062400000",
    "number": "1184592024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3123 INDEPENDENCE DR",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945517595",
            "telephone_number": "925-999-4119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 W TOKAY ST STE A",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952403965",
            "telephone_number": "925-999-4119"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "130 W Flora St",
            "address_purpose": "LOCATION",
            "city": "Stockton",
            "state": "CA",
            "postal_code": "952021636",
            "country_code": "US",
            "telephone_number": "925-999-4119 x66677",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GLOM OUTPATIENT SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-23",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-18",
        "status": "A",
        "authorized_official_last_name": "TURNER",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_title_or_position": "EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "925-570-3282"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lodi, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2026; 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.