Organization Active NPI

Glenn Marron Psychologist PLLC

  • Clinical Psychologist
  • New York, NY
National Provider Identifier
1700225224
Registry record updated Jun 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
008617 Issued in NY
Legal business name
GLENN MARRON PSYCHOLOGIST PLLC
Practice address
280 Madison Ave
805
New York, NY 10016-0801
Phone
(917) 608-8482
Fax
(212) 922-1660
NPI assigned
Jun 18, 2013
Last updated
Jun 18, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2013

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

Authorized official

Name
Glenn Marron, PHDNPI 1982702353
Title
Owner
Phone
(917) 608-8482

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 008617 NY Primary

Addresses

Primary practice location

280 Madison Ave
805
New York, NY 10016-0801

Mailing address

301 E 47TH St
19A
New York, NY 10017-2302

National Provider Directory

National Provider Directory

Locations

280 Madison Ave
#805
New York, NY 10016
Phone (917) 608-8482

Practitioners & affiliated clinicians

Practitioners 1

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": "1371513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371513600000",
    "number": "1700225224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 E 47TH ST",
            "address_2": "19A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100172302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 MADISON AVE",
            "address_2": "805",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100160801",
            "telephone_number": "917-608-8482",
            "fax_number": "212-922-1660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENN MARRON PSYCHOLOGIST PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-18",
        "last_updated": "2013-06-18",
        "status": "A",
        "authorized_official_last_name": "MARRON",
        "authorized_official_first_name": "GLENN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-608-8482",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "008617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2013; 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.