Mary Glynos LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071.007412 Issued in IL

Legal business name

MARY GLYNOS LLC

Practice address

200 N Dearborn St Unit 2604
Chicago, IL 60601-1625

Phone

(312) 343-0960

NPI assigned

Feb 16, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Mary Eileen Glynos, PSY.D.

Title

Clinical Psychologist

Phone

(312) 343-0960

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1203120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203120000000",
    "number": "1568630176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 N DEARBORN ST UNIT 2604",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606011625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N DEARBORN ST UNIT 2604",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606011625",
            "telephone_number": "312-343-0960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY GLYNOS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-16",
        "last_updated": "2008-02-16",
        "status": "A",
        "authorized_official_last_name": "GLYNOS",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "EILEEN",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "312-343-0960",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071.007412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2008; 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.