Glenna Rae McGirr, LPT

Primary specialty

Licensed Psychiatric TechnicianTaxonomy code 167G00000X

License

PT 22842 Issued in CA

Practice address

15145A Lakeshore Dr
Clearlake, CA 95422-8106

Phone

(707) 944-7090

Fax

(707) 994-7096

NPI assigned

Feb 2, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Glenna Davidson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1437297124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3795 SPRING VALLEY RD",
            "city": "CLEARLAKE OAKS",
            "state": "CA",
            "postal_code": "954239407",
            "telephone_number": "707-994-7090",
            "fax_number": "707-994-7096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15145A LAKESHORE DR",
            "city": "CLEARLAKE",
            "state": "CA",
            "postal_code": "954228106",
            "telephone_number": "707-944-7090",
            "fax_number": "707-994-7096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGIRR",
        "first_name": "GLENNA",
        "middle_name": "RAE",
        "credential": "LPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "167G00000X",
            "taxonomy_group": "",
            "desc": "Licensed Psychiatric Technician",
            "state": "CA",
            "license": "PT 22842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GLENNA",
            "last_name": "DAVIDSON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Brian James Marrier, BCAB
• Teresa Massingill
• Sheila Jane McCarthy
• Alvin McCormick
• Jason Davis McCraw, D.C.
• Michael L. McKeown
• Jean M McNally, LCSW
• Medical Specialists Associates PC
• Katarina Maria Meyer
• Jeffrey W Meyers, PA-C

• Licensed Psychiatric Technician in Clearlake, CA
• Providers in Clearlake, CA by specialty
• Licensed Psychiatric Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.