Robert Norman Glenn, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0810000798 Issued in VA

Practice address

9376 Atlee Station Rd
Hanover Family Physicians PC
Mechanicsville, VA 23116

Phone

(804) 730-0990

Fax

(804) 730-8752

NPI assigned

Aug 15, 2006

Last updated

Oct 19, 2007By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192752000000",
    "number": "1649283821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9376 ATLEE STATION RD",
            "address_2": "HANOVER FAMILY PHYSICIANS PC",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "23116",
            "telephone_number": "804-730-0990",
            "fax_number": "804-730-8752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9376 ATLEE STATION RD",
            "address_2": "HANOVER FAMILY PHYSICIANS PC",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "23116",
            "telephone_number": "804-730-0990",
            "fax_number": "804-730-8752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLENN",
        "first_name": "ROBERT",
        "middle_name": "NORMAN",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-15",
        "last_updated": "2007-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810000798",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07701241",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dalya Samir Girgis
• Joel Glasgow, P.T.
• Limor Glazer, D.P.M.
• Emma Gleckel, LPC
• Elizabeth Glenn-Howell, CRNA
• Erin Glisson, M.ED
• Alexandra Glowatsky
• Christine Glowatsky, S.L.P.
• Go Transport Inc
• Angela Godfrey, LPT

• Clinical Psychologist in Mechanicsville, VA
• Providers in Mechanicsville, VA by specialty
• Clinical Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.