Individual provider Active NPI

Cynthia Ellen Glidden-Tracey, PH.D.

  • Counseling Psychologist
  • Chandler, AZ
National Provider Identifier
1255653069
Registry record updated Feb 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
3406 Issued in AZ
Practice address
1351 N Alma School Rd
Suite #205
Chandler, AZ 85224-5936
Phone
(480) 491-7048
Fax
(480) 963-2036
NPI assigned
Feb 20, 2010
Last updated
Feb 20, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 3406 AZ Primary

Addresses

Primary practice location

1351 N Alma School Rd
Suite #205
Chandler, AZ 85224-5936

Mailing address

1351 N Alma School Rd
Suite #205
Chandler, AZ 85224-5936
Phone (480) 491-7048

Other identifiers 1

IdentifierTypeStateIssuer
12059824OtherAZCAQH ID#

Other names 1

  • Ms. Cindi Glidden Former name

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

LicenseStateTypeSpecialty
3406AZMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Children & Adult Psychological Services, LLC PastSince Jul 11, 2015 Accepting new patients

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": "1266624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266624000000",
    "number": "1255653069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1351 N ALMA SCHOOL RD",
            "address_2": "SUITE #205",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852245936",
            "telephone_number": "480-491-7048",
            "fax_number": "480-963-2036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1351 N ALMA SCHOOL RD",
            "address_2": "SUITE #205",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852245936",
            "telephone_number": "480-491-7048",
            "fax_number": "480-963-2036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLIDDEN-TRACEY",
        "first_name": "CYNTHIA",
        "middle_name": "ELLEN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-20",
        "last_updated": "2010-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "AZ",
            "license": "3406",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH ID#",
            "identifier": "12059824",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CINDI",
            "last_name": "GLIDDEN",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2010; 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.