Active NPI
Charles D. Glass, PH.D., LLC
- Adult Mental Health Clinic/Center
- Denver, CO
National Provider Identifier
1821592098
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Charles Glass, PHD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 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
National Provider Directory
National Provider DirectoryLocations
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.