Colleen Elizabeth Glynn

Primary specialty

Assistant Behavior AnalystTaxonomy code 106E00000X

Practice address

48 Salem St
Wakefield, MA 01880-1838

Phone

(978) 810-5858

NPI assigned

Mar 2, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1614643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614643200000",
    "number": "1447845490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 SALEM ST",
            "city": "WAKEFIELD",
            "state": "MA",
            "postal_code": "018801838",
            "telephone_number": "978-810-5858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 SALEM ST",
            "city": "WAKEFIELD",
            "state": "MA",
            "postal_code": "018801838",
            "telephone_number": "978-810-5858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLYNN",
        "first_name": "COLLEEN",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-02",
        "last_updated": "2021-03-02",
        "certification_date": "2021-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100203282189",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "colleen.e.glynn@lahey.org",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "48 Salem St",
            "city": "Wakefield",
            "state": "MA",
            "country_code": "US",
            "postal_code": "018801838",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Gerry J.Casazza, D.M.D, F.a.G.D. & Assciates
• Sarah Gibb
• Meagan E Gilmore
• Mary P Giunta, CCC,SLP
• Glazier Psychological Services
• Audrey Ann Goforth
• Shammi Gohel, M.S., CCC, SLP
• Jenna Alana Goldman-Macfail, OTD, OTR/L
• Gehad Ashraf Gomaa, BCABA
• Bronwyn Goode

• Assistant Behavior Analyst in Wakefield, MA
• Providers in Wakefield, MA by specialty
• Assistant Behavior Analyst in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2021; 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.