NPIMap

Organization Active NPI

Brenda Glass Multipurpose Trauma Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bedford HTS, OH
National Provider Identifier
1225675796
Registry record updated Dec 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
BRENDA GLASS MULTIPURPOSE TRAUMA CENTER
Practice address
24885 Randolph Rd
Bedford HTS, OH 44146-3946
Phone
(440) 836-2576
NPI assigned
Dec 4, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2019

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

Authorized official

Name
Brenda Glass, LISW-SNPI 1811316961
Title
Founder & Ceo
Phone
(440) 836-2576

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)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

24885 Randolph Rd
Bedford HTS, OH 44146-3946

Mailing address

24885 Randolph Rd
Bedford HTS, OH 44146-3946
Phone (440) 836-2576

Other identifiers 1

IdentifierTypeStateIssuer
0161017MedicaidOH

Other names 1

  • Brenda Glass Multipurpose Trauma Center Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bglass@brendaglasstraumacenter.org Direct

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1575417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575417600000",
    "number": "1225675796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24885 RANDOLPH RD",
            "city": "BEDFORD HTS",
            "state": "OH",
            "postal_code": "441463946",
            "telephone_number": "440-836-2576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24885 RANDOLPH RD",
            "city": "BEDFORD HTS",
            "state": "OH",
            "postal_code": "441463946",
            "telephone_number": "440-836-2576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENDA GLASS MULTIPURPOSE TRAUMA CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-04",
        "last_updated": "2019-12-04",
        "status": "A",
        "authorized_official_last_name": "GLASS",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "FOUNDER & CEO",
        "authorized_official_telephone_number": "440-836-2576",
        "authorized_official_credential": "LISW-S"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0161017",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bglass@brendaglasstraumacenter.org",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "24885 Randolph Rd",
            "city": "Bedford Hts",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441463946",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Brenda Glass Multipurpose Trauma Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bedford HTS, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2019; 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.