Active NPI
Patrick Glynn
- Behavior Technician
- Atlanta, GA
National Provider Identifier
1992389159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-17-46925
- Practice address
- 1215 Hightower TRL Ste B120
Atlanta, GA 30350-6205 - Phone
- (866) 523-4268
- NPI assigned
- May 12, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-17-46925 | GA | Primary |
Addresses
Primary practice location
1215 Hightower TRL Ste B120
Atlanta, GA 30350-6205
Mailing address
PO Box 399318
San Francisco, CA 94139-9318
Phone (866) 523-4268
Other practice location 1
1894 Ludovie Ln
Decatur, GA 30033-1044
Phone (678) 626-0557
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-17-46925 | GA | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Core Therapy Services, LLC | Behavior Technician | Past | Accepting new patients |
Organizations & group practices 1
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": "1620777600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626134400000",
"number": "1992389159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 399318",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941399318",
"telephone_number": "866-523-4268"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1215 HIGHTOWER TRL STE B120",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303506205",
"telephone_number": "866-523-4268"
}
],
"practiceLocations": [
{
"address_1": "1894 Ludovie Ln",
"address_purpose": "LOCATION",
"city": "Decatur",
"state": "GA",
"postal_code": "300331044",
"country_code": "US",
"telephone_number": "678-626-0557",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GLYNN",
"first_name": "PATRICK",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-05-12",
"last_updated": "2021-07-13",
"certification_date": "2021-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "GA",
"license": "RBT-17-46925",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.