Dr John Glazer, LLC

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

Last updated

Jul 8, 2015By 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. John Glazer, PSYDNPI 1184980641

Title

Owner/ Clinical Psychologist

Phone

(720) 722-1636

Specialties & licenses 1

Addresses

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.

• John Chapin Glazer, PSYD

  • Clinical Psychologist
  • Denver, CO
  • NPI 1184980641
  Authorized official Same address or phone

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": []
}

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• Adult Mental Health Clinic/Center in Denver, CO
• Providers in Denver, CO by specialty
• Adult Mental Health Clinic/Center in Colorado

• 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.