Organization Active NPI

Dr John Glazer, LLC

  • Adult Mental Health Clinic/Center
  • Denver, CO
National Provider Identifier
1790176352
Registry record updated Jul 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
3670 Issued in CO
Legal business name
DR JOHN GLAZER, LLC
Practice address
300 S Jackson St
Suite 520
Denver, CO 80209-3176
Phone
(720) 722-1636
NPI assigned
Feb 18, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2015

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

Authorized official

Name
Dr. John Glazer, PSYD
Title
Owner/ Clinical Psychologist
Phone
(720) 722-1636

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X 3670 CO Primary

Addresses

Primary practice location

300 S Jackson St
Suite 520
Denver, CO 80209-3176

Mailing address

300 S Jackson St
Suite 520
Denver, CO 80209-3176

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1424217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436313600000",
    "number": "1790176352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 S JACKSON ST",
            "address_2": "SUITE 520",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802093176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S JACKSON ST",
            "address_2": "SUITE 520",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802093176",
            "telephone_number": "720-722-1636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR JOHN GLAZER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-18",
        "last_updated": "2015-07-08",
        "status": "A",
        "authorized_official_last_name": "GLAZER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER/ CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "720-722-1636",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "CO",
            "license": "3670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2015; 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.