Organization Active NPI

Glaad Servicesllc

  • Developmental Disabilities Clinic/Center
  • Glen Allen, VA
National Provider Identifier
1972252146
Registry record updated Mar 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X
Legal business name
GLAAD SERVICESLLC
Practice address
1582 Mountain Rd
Glen Allen, VA 23060-3915
Phone
(757) 343-3924
NPI assigned
Mar 23, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2022

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

Authorized official

Name
Ms. Paris Monae MortonNPI 1568095610
Title
Owner
Phone
(757) 343-3924

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Disabilities Clinic/Center 261QD1600X Primary

Addresses

Primary practice location

1582 Mountain Rd
Glen Allen, VA 23060-3915

Mailing address

1582 Mountain Rd
Glen Allen, VA 23060-3915
Phone (757) 343-3924

National Provider Directory

National Provider Directory

Locations

1582 Mountain Rd
Glen Allen, VA 23060
Phone (757) 343-3924

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": "1647993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647993600000",
    "number": "1972252146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1582 MOUNTAIN RD",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230603915",
            "telephone_number": "757-343-3924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1582 MOUNTAIN RD",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230603915",
            "telephone_number": "757-343-3924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLAAD SERVICESLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-23",
        "last_updated": "2022-03-23",
        "certification_date": "2022-03-22",
        "status": "A",
        "authorized_official_last_name": "MORTON",
        "authorized_official_first_name": "PARIS",
        "authorized_official_middle_name": "MONAE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-343-3924",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Allen, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2022; 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.