Organization Active NPI

Claudelle R Glasgow, PSYD, PLLC

  • Community/Behavioral Health Agency
  • Seattle, WA
National Provider Identifier
1811479249
Registry record updated Jul 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
2697 Issued in OR
Legal business name
CLAUDELLE R GLASGOW, PSYD, PLLC
Practice address
1105 23Rd Ave
Seattle, WA 98122-4859
Phone
(312) 804-3079
NPI assigned
Sep 1, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2019

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

Authorized official

Name
Dr. Claudelle R Glasgow, PSYD
Title
Licensed Psychologist
Phone
(312) 804-3079

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 2697 OR Primary

Addresses

Primary practice location

1105 23Rd Ave
Seattle, WA 98122-4859

Mailing address

1105 23Rd Ave
Seattle, WA 98122-4859
Phone (312) 804-3079

Other practice location 1

2143 NE Broadway St #6
Portland, OR 97232
Phone (312) 804-3079

National Provider Directory

National Provider Directory

Locations

1105 23rd Ave
Seattle, WA 98122
Phone (253) 260-6139

NPI Registry JSON

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

{
    "created_epoch": "1535760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564358400000",
    "number": "1811479249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 23RD AVE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981224859",
            "telephone_number": "312-804-3079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 23RD AVE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981224859",
            "telephone_number": "312-804-3079"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2143 NE Broadway St #6",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "97232",
            "country_code": "US",
            "telephone_number": "312-804-3079",
            "fax_number": "312-275-7527",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CLAUDELLE R GLASGOW, PSYD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-01",
        "last_updated": "2019-07-29",
        "status": "A",
        "authorized_official_last_name": "GLASGOW",
        "authorized_official_first_name": "CLAUDELLE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "312-804-3079",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OR",
            "license": "2697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2019; 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.