Active NPI
Daniel John Glynn Jr., PSY.D.
- Clinical Psychologist
- Hamilton, OH
National Provider Identifier
1881809762
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 5607
- Practice address
- 1750 S Erie Hwy
Hamilton, OH 45011-4118 - Phone
- (513) 477-9216
- NPI assigned
- May 13, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Psychologist | 103TH0100X | 20042217A | IN | |
| Clinical Psychologist | 103TC0700X | 5607 | OH | Primary |
Addresses
Primary practice location
1750 S Erie Hwy
Hamilton, OH 45011-4118
Mailing address
1750 S Erie Hwy
Hamilton, OH 45011-4118
Phone (513) 477-9216
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 Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20042217A | IN | MD | Health Service Psychologist |
| 5607 | OH | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1426032000000",
"number": "1881809762",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1750 S ERIE HWY",
"city": "HAMILTON",
"state": "OH",
"postal_code": "450114118",
"telephone_number": "513-477-9216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1750 S ERIE HWY",
"city": "HAMILTON",
"state": "OH",
"postal_code": "450114118",
"telephone_number": "513-477-9216"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLYNN",
"first_name": "DANIEL",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-13",
"last_updated": "2015-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "103TH0100X",
"taxonomy_group": "",
"desc": "Psychologist, Health Service",
"state": "IN",
"license": "20042217A",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "OH",
"license": "5607",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hamilton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.