Glenn T. Brasington, PH.D., Inc.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

856 Issued in OR

Legal business name

GLENN T. BRASINGTON, PH.D., INC.

Practice address

429 N Water St
Silverton, OR 97381-1645

Phone

(503) 310-9157

Fax

(503) 873-6340

NPI assigned

Jul 14, 2009

Organization subpart

No

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

Authorized official

Name

Glenn Brasingtn

Title

President

Phone

(503) 310-9157

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lacey Faughender, LCSW

  • Clinical Social Worker
  • Salem, OR
  • NPI 1891102562
  NPD (past)

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

{
    "created_epoch": "1247529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247529600000",
    "number": "1356571194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 962",
            "city": "SILVERTON",
            "state": "OR",
            "postal_code": "973810962",
            "telephone_number": "503-310-9157",
            "fax_number": "503-873-6340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "429 N WATER ST",
            "city": "SILVERTON",
            "state": "OR",
            "postal_code": "973811645",
            "telephone_number": "503-310-9157",
            "fax_number": "503-873-6340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENN T. BRASINGTON, PH.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-14",
        "last_updated": "2009-07-14",
        "status": "A",
        "authorized_official_last_name": "BRASINGTN",
        "authorized_official_first_name": "GLENN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-310-9157"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "OR",
            "license": "856",
            "primary": true
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": "HI",
            "license": "211",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE- UNSPECIFIED",
            "identifier": "R000TCHMF",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sharon Gavrilovic
• Corey Geffken, LMT
• Melissa Gengler
• John Anderson Gilliam II, MD
• Rebecca Gilliam
• Michael Edward Grady, M.D.
• Donald R Graham, M.D.
• Kate Graham, L.M.T.
• Amber Renee Grant, RPH
• Teryl Graybeal, RN, IBCLC

• Psychologist in Silverton, OR
• Providers in Silverton, OR by specialty
• Psychologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2009; 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.