Active NPI
Rachel Glass, M.ED.
- Psychologist
- Greenville, OH
National Provider Identifier
1740680040
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- OH1374626
- Practice address
- 100 Greenwave Way
Greenville, OH 45331-2383 - Phone
- (937) 548-4188
- NPI assigned
- Aug 25, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | OH1374626 | OH | Primary |
Addresses
Primary practice location
100 Greenwave Way
Greenville, OH 45331-2383
Mailing address
100 Greenwave Way
Greenville, OH 45331-2383
Phone (937) 548-4188
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OH1374626 | OH | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1408924800000",
"number": "1740680040",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 GREENWAVE WAY",
"city": "GREENVILLE",
"state": "OH",
"postal_code": "453312383",
"telephone_number": "937-548-4188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 GREENWAVE WAY",
"city": "GREENVILLE",
"state": "OH",
"postal_code": "453312383",
"telephone_number": "937-548-4188"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLASS",
"first_name": "RACHEL",
"credential": "M.ED.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-08-25",
"last_updated": "2014-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "OH",
"license": "OH1374626",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.