Joycelynn Yvonne Glover Ellison

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6301017251 Issued in MI

Practice address

718 Oak St
Flint, MI 48503-2614

Phone

(810) 233-8815

Fax

(810) 833-8812

NPI assigned

Nov 2, 2017

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 names 1

• Joycelynn Yvonne Glover 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": "1509580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509580800000",
    "number": "1689186363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 CHEROKEE RD",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483411504",
            "telephone_number": "248-396-8061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "718 OAK ST",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485032614",
            "telephone_number": "810-233-8815",
            "fax_number": "810-833-8812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLOVER ELLISON",
        "first_name": "JOYCELYNN",
        "middle_name": "YVONNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-02",
        "last_updated": "2017-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301017251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOYCELYNN",
            "last_name": "GLOVER",
            "middle_name": "YVONNE",
            "credential": "MA, TLLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Cindy Glenik, RN
• Lori Ann Glenn, RN MS CNM
• Quangi Fae Glenn
• Becky A Gliniecki
• Gloria Jue DO PC
• Allison Lara Glover, NP
• Gmos Oral Surgery, PC
• Brooke Gnegy, BSN, RN
• Marianne Go
• Mona Lee Goatley, PT

• Clinical Psychologist in Flint, MI
• Providers in Flint, MI by specialty
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2017; 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.