Individual provider Active NPI

Glenn Allen Toplyn, PH.D.

  • Clinical Psychologist
  • Westland, MI
National Provider Identifier
1861447237
Registry record updated Aug 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6301013186 Issued in MI
Practice address
30901 Palmer Rd
Westland, MI 48186-9529
Phone
(734) 367-8529
NPI assigned
May 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 009612 NY
Clinical Psychologist 103TC0700X 6301013186 MI Primary

Addresses

Primary practice location

30901 Palmer Rd
Westland, MI 48186-9529

Mailing address

4955 Hickory Pointe Blvd
Ypsilanti, MI 48197-6811
Phone (734) 367-8529

Other identifiers 1

IdentifierTypeStateIssuer
1508883299OtherMIWRPH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
009612NYMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Seniors Wellness Group of Michigan, P.C. Clinical Past Accepting new patients
Center for Family Psychiatry, PLC PastSince Sep 1, 2004 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186531200000",
    "number": "1861447237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4955 HICKORY POINTE BLVD",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481976811",
            "telephone_number": "734-367-8529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30901 PALMER RD",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481869529",
            "telephone_number": "734-367-8529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOPLYN",
        "first_name": "GLENN",
        "middle_name": "ALLEN",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2007-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "009612",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301013186",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WRPH",
            "identifier": "1508883299",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2007; 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.