Organization Active NPI

Charles D. Glass, PH.D., LLC

  • Adult Mental Health Clinic/Center
  • Denver, CO
National Provider Identifier
1821592098
Registry record updated Mar 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
CHARLES D. GLASS, PH.D., LLC
Practice address
1777 S Bellaire St Ste 160
Denver, CO 80222-4314
Phone
(303) 893-0112
Fax
(303) 496-1111
NPI assigned
Mar 21, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2018

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

Authorized official

Name
Dr. Charles Glass, PHDNPI 1265425565
Title
Practice Manager / Psychologist
Phone
(303) 893-0112

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X CO
Adult Mental Health Clinic/Center 261QM0850X CO Primary

Addresses

Primary practice location

1777 S Bellaire St Ste 160
Denver, CO 80222-4314

Mailing address

PO Box 103159
Denver, CO 80250-3159
Phone (303) 893-0112

Other practice location 1

2299 Pearl St Ste 103
Boulder, CO 80302-4669
Phone (303) 893-0112

Other names 1

  • Colorado Center for Anxiety & Stress-Related Disorders Doing business as

National Provider Directory

National Provider Directory

Locations

2299 Pearl St
Ste 103
Boulder, CO 80302
Phone (303) 423-1440

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1521590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521590400000",
    "number": "1821592098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 103159",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802503159",
            "telephone_number": "303-893-0112",
            "fax_number": "303-496-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1777 S BELLAIRE ST STE 160",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802224314",
            "telephone_number": "303-893-0112",
            "fax_number": "303-496-1111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2299 Pearl St Ste 103",
            "address_purpose": "LOCATION",
            "city": "Boulder",
            "state": "CO",
            "postal_code": "803024669",
            "country_code": "US",
            "telephone_number": "303-893-0112",
            "fax_number": "303-496-1111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CHARLES D. GLASS, PH.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-21",
        "last_updated": "2018-03-21",
        "status": "A",
        "authorized_official_last_name": "GLASS",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "PRACTICE MANAGER / PSYCHOLOGIST",
        "authorized_official_telephone_number": "303-893-0112",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Colorado Center for Anxiety & Stress-Related Disorders",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 21, 2018; 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.