Jodi Glaus Pingel, LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2003030079 Issued in MO

Legal business name

JODI GLAUS PINGEL, LLC

Practice address

300 Ozark Trail Dr
Suite 217
Ellisville, MO 63011-2166

Phone

(636) 891-9760

Fax

(636) 891-9765

NPI assigned

Jun 20, 2011

Last updated

Jun 20, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jodi Glaus Pingel, PSY.D.NPI 1689737595

Title

Clinical Psychologist/Owner

Phone

(636) 891-9760

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Locations

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.

• Jodi Glaus Pingel, PSY.D.

  • Clinical Psychologist
  • Ellisville, MO
  • NPI 1689737595
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1308528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308528000000",
    "number": "1790071629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 OZARK TRAIL DR",
            "address_2": "SUITE 217",
            "city": "ELLISVILLE",
            "state": "MO",
            "postal_code": "630112166",
            "telephone_number": "636-891-9760",
            "fax_number": "636-891-9765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 OZARK TRAIL DR",
            "address_2": "SUITE 217",
            "city": "ELLISVILLE",
            "state": "MO",
            "postal_code": "630112166",
            "telephone_number": "636-891-9760",
            "fax_number": "636-891-9765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JODI GLAUS PINGEL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-20",
        "last_updated": "2011-06-20",
        "status": "A",
        "authorized_official_last_name": "PINGEL",
        "authorized_official_first_name": "JODI",
        "authorized_official_middle_name": "GLAUS",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST/OWNER",
        "authorized_official_telephone_number": "636-891-9760",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MO",
            "license": "2003030079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Hartman Inc (Ellisville Hearing Center and Hearing Center of Kirkwood)
• Kerry Joe James, SA-C
• Jay F. Hauser, DDS, PC (Premier Dental Partners Ellisville)
• Musadiq Jeddy, RPH
• Jeremy M Frith DDS
• John C Smith Jr Inc
• Danielle E. Jokerst, MOTR
• Hannah June, M.S.O.T., OTR/L
• K&S Medical, L.L.C.
• Jennifer Christine Kane, D.C.

• Clinical Psychologist in Ellisville, MO
• Providers in Ellisville, MO by specialty
• Clinical Psychologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.