Glenna Croswell Smith, MD

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

A155932 Issued in CA

Practice address

6345 Balboa Blvd Ste 199
Encino, CA 91316-1515

Phone

(818) 643-5082

Fax

(818) 643-7098

NPI assigned

Apr 8, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Nov 16, 2021 through Nov 16, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• Direct secure messaging: glenna.smith.1@12972.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/12972/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Adelpha Psychiatric Group, Inc.

  • Psychiatry Physician
  • Encino, CA
  • NPI 1942674049
  NPD (past)

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

{
    "created_epoch": "1428451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597622400000",
    "number": "1841686730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6345 BALBOA BLVD STE 199",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913161515",
            "telephone_number": "818-643-5082",
            "fax_number": "818-643-7098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6345 BALBOA BLVD STE 199",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913161515",
            "telephone_number": "818-643-5082",
            "fax_number": "818-643-7098"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3535 Market St",
            "address_2": "Second Floor",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191043309",
            "country_code": "US",
            "telephone_number": "215-746-7222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "GLENNA",
        "middle_name": "CROSWELL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-08",
        "last_updated": "2020-08-17",
        "certification_date": "2020-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "CA",
            "license": "A155932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cibel Smirlian, DDS
• Amanda Danielle Smith, PSY.D.
• Anna Caitlin Smith
• Arthur Smith
• Brittany D Smith
• Roneet Mordechai Smith
• Gregory A Snaider
• Jeannine Florina Snow
• Robert Leigh Sobel, DDS
• Socal Hospice Inc

• Child & Adolescent Psychiatry Physician in Encino, CA
• Providers in Encino, CA by specialty
• Child & Adolescent Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.