Edward Robert Glennon, N.P.

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

RN274435 Issued in MA

Practice address

67 Union St
Department of Psychiatry
Natick, MA 01760-7700

Phone

(617) 750-7103

NPI assigned

Sep 20, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

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

Specialty

Nurse Practitioner

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

First Psychiatric Planners, IncGroup PAC ID 3476653387, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• First Psychiatric Planners, Inc

  dba Bournewood Hospital

  • Psychiatric Hospital
  • Brookline, MA
  • NPI 1093714412
  Medicare reassignment Care Compare group NPD
• Tufts Medical Center, Inc.

  dba Tufts Medical Center

  • General Acute Care Hospital
  • Boston, MA
  • NPI 1730132515
  Medicare reassignment NPD
• VHS Acquisition Subsidiary Number 9 Inc

  dba MetroWest Medical Center

  • Psychiatry Physician
  • Natick, MA
  • NPI 1356384101

  Psychiatric/Mental Health

  Medicare reassignment NPD
• Thrive Counseling LLC

  dba Thriveworks

  • Mental Health Counselor
  • Lynchburg, VA
  • NPI 1215181300

  MA

  Medicare reassignment NPD
• Beacon Hospice, LLC

  dba Metrowest HomeCare and Hospice, an Amedisys Company

  • Community Based Hospice Care Agency
  • Marlborough, MA
  • NPI 1043335011
  NPD
• Bournewood Clinical Associates

  • Nurse Practitioner
  • Brookline, MA
  • NPI 1891780144
  NPD
• Tufts Medical Center, Inc.

  dba Tufts Medical Center

  • Psychiatric Hospital Unit
  • Boston, MA
  • NPI 1053350306
  NPD

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

{
    "created_epoch": "1348099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348099200000",
    "number": "1396096053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 UNION ST",
            "address_2": "DEPARTMENT OF PSYCHIATRY",
            "city": "NATICK",
            "state": "MA",
            "postal_code": "017607700",
            "telephone_number": "617-750-7103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 UNION ST",
            "address_2": "DEPARTMENT OF PSYCHIATRY",
            "city": "NATICK",
            "state": "MA",
            "postal_code": "017607700",
            "telephone_number": "617-750-7103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLENNON",
        "first_name": "EDWARD",
        "middle_name": "ROBERT",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-09-20",
        "last_updated": "2012-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN274435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alan Michael Ginsberg, LIC. AC.
• Stewart J Ginsberg, OD
• Dina Emil Girgis, IBCLC
• Shelby Gitlin, M.S.,CCC-SLP
• Giving Tree Pediatrics PC
• Neil Glickman, PH.D.
• Stacy Glickman, LMHC
• Gianna Lisa Godek
• Thiago Godoi, CNP
• Hannah Goehner, PSYD

• Psychiatric/Mental Health Nurse Practitioner in Natick, MA
• Providers in Natick, MA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.