Individual provider Active NPI

Glenn Philip Townsend, NP-C

  • Psychiatric/Mental Health Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1275845935
Registry record updated Aug 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP8266 Issued in AZ
Practice address
1840 N 95TH Ave Ste 160
Phoenix, AZ 85037-4313
Phone
(623) 234-9811
Fax
(623) 234-9815
NPI assigned
Jul 10, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X AP3724 AZ
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP8266 AZ Primary

Addresses

Primary practice location

1840 N 95TH Ave Ste 160
Phoenix, AZ 85037-4313

Mailing address

1840 N 95TH Ave Ste 160
Phoenix, AZ 85037-4313
Phone (623) 234-9811

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130819000250 AZ Practitioner - Nurse Practitioner 4082856257 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jewish Family and Childrens ServiceGroup PAC ID 9234028671, 30 clinicians

Practice addresses (Care Compare)

2033 N 7TH St
Phoenix, AZ 85006-2102
Phone (602) 257-9314

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP8266AZMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jewish Family & Children'S Service CurrentSince Aug 29, 2016 Accepting new patients
Jewish Family & Children'S Service CurrentSince Aug 29, 2016 Accepting new patients
Jewish Family & Children'S Service Past Accepting new patients

Locations

1840 N 95th Ave
Ste 160
Phoenix, AZ 85037
Phone (623) 234-9811

4747 N 7th St
Ste 100
Phoenix, AZ 85014
Phone (602) 279-7655

2033 N 7th St
Phoenix, AZ 85006
Phone (602) 257-9314

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1278720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659916800000",
    "number": "1275845935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1840 N 95TH AVE STE 160",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850374313",
            "telephone_number": "623-234-9811",
            "fax_number": "623-234-9815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 N 95TH AVE STE 160",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850374313",
            "telephone_number": "623-234-9811",
            "fax_number": "623-234-9815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOWNSEND",
        "first_name": "GLENN",
        "middle_name": "PHILIP",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-10",
        "last_updated": "2022-08-08",
        "certification_date": "2022-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AZ",
            "license": "AP3724",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "AP8266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.