Active NPI
Cynthia Ellen Glidden-Tracey, PH.D.
- Counseling Psychologist
- Chandler, AZ
National Provider Identifier
1255653069
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 3406
- 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, 2010
- Sex
- Female
- 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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12059824 | Other | AZ | CAQH ID# |
Other names 1
- Ms. Cindi Glidden
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 |
|---|---|---|---|
| 3406 | AZ | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children & Adult Psychological Services, LLC | Past | 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.
-
- Psychologist
- Chandler, AZ
- NPI 1598977134
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.