Glynn Roux Services, LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

9942 Issued in MA

Legal business name

GLYNN ROUX SERVICES, LLC

Practice address

450 N Main St
Sharon, MA 02067-1172

Phone

(617) 875-5719

NPI assigned

Jul 14, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Mary Dee Glynn Roux

Title

Manager

Phone

(617) 875-5719

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1436832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436832000000",
    "number": "1972987527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 93",
            "city": "SHARON",
            "state": "MA",
            "postal_code": "020670093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 N MAIN ST",
            "city": "SHARON",
            "state": "MA",
            "postal_code": "020671172",
            "telephone_number": "617-875-5719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLYNN ROUX SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-14",
        "last_updated": "2015-07-14",
        "status": "A",
        "authorized_official_last_name": "GLYNN ROUX",
        "authorized_official_first_name": "MARY DEE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "617-875-5719",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "MA",
            "license": "9942",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE 1 NPI NUMBER (USED PRIOR TO FORMING LLC AND REQUESTING TYPE 2 NPI)",
            "identifier": "1851600985",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alan H Gauchman, DDS
• Megan E. Gazda
• Susan Campbell Gelfman, OTR
• Susan Gemma, PA-C
• Rachel Glincher, CPNP
• Janice M Glynn, OTR/L
• Jonathan Goldberg, LMT
• Eitan P Golden
• Max Goldfarb, RPH
• Helayne Gay Goldstein -Ramirez, LISCW

• Psychologist in Sharon, MA
• Providers in Sharon, MA by specialty
• Psychologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 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.

Verify at the official NPI Registry.