Organization Active NPI

Chad Glang, PHD LLC

  • Clinical Psychologist
  • Colorado Springs, CO
National Provider Identifier
1518237304
Registry record updated Jun 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
873 Issued in CO
Legal business name
CHAD GLANG, PHD LLC
Practice address
317 E San Rafael St
Colorado Springs, CO 80903-2405
Phone
(719) 633-4845
Fax
(719) 634-2563
NPI assigned
Jan 10, 2012
Last updated
Jun 12, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2012

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

Authorized official

Name
Dr. Chad Glang, PHD LLCNPI 1053413518
Title
Owner
Phone
(719) 633-4845

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 873 CO Primary

Addresses

Primary practice location

317 E San Rafael St
Colorado Springs, CO 80903-2405

Mailing address

317 E San Rafael St
Colorado Springs, CO 80903-2405
Phone (719) 633-4845

National Provider Directory

National Provider Directory

Locations

317 E San Rafael St
Colorado Springs, CO 80903
Phone (719) 321-3076

317 E San Rafael St
Ste 201
Colorado Springs, CO 80903
Phone (719) 633-4845

611 N Nevada Ave
Colorado Springs, CO 80903
Phone (719) 632-0771

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1326153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339459200000",
    "number": "1518237304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 E SAN RAFAEL ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809032405",
            "telephone_number": "719-633-4845",
            "fax_number": "719-634-2563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 E SAN RAFAEL ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809032405",
            "telephone_number": "719-633-4845",
            "fax_number": "719-634-2563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAD GLANG, PHD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-10",
        "last_updated": "2012-06-12",
        "status": "A",
        "authorized_official_last_name": "GLANG",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-633-4845",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD LLC"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2012; 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.