Glenn Marron, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

008617-1 Issued in NY

Practice address

280 Madison Ave
Suite 805
New York, NY 10016-0801

Phone

(212) 922-1669

Fax

(212) 922-1660

NPI assigned

Sep 20, 2006

Last updated

Jun 6, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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

• Glenn Marron Psychologist PLLC

  • Clinical Psychologist
  • New York, NY
  • NPI 1700225224
  NPD (past) Authorized official

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370476800000",
    "number": "1982702353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 E 47TH ST",
            "address_2": "APARTMENT 19A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100172302",
            "telephone_number": "212-922-1660",
            "fax_number": "212-922-1660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 MADISON AVE",
            "address_2": "SUITE 805",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100160801",
            "telephone_number": "212-922-1669",
            "fax_number": "212-922-1660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARRON",
        "first_name": "GLENN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2013-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "008617-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miguel Marrero, DCW
• Ray Marrero
• Judy Lynn Marriott-Fowler, LMT
• Frank A Marrocco, PH.D.
• Mary-Joan Marron-Corwin, M.D.
• Michelle Ann Surot Marron
• Thomas Urban Marron, M.D. PH.D.
• Kathryn Marrone, LCSW
• William M Marrone, PT, DPT
• Alejandra Antonia Marroquin-Flores

• Clinical Psychologist in New York, NY
• Providers in New York, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2013; 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.