GLENWOOD C BROOKS JR. (NPI# 1083736052) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083736052 |
| Entity Type | Individual |
| Full Name | GLENWOOD C BROOKS JR. |
| Credential | PH.D. |
| Practice Address |
220 Tilghman Rd Salisbury MD 21804-1921 |
| Practice Telephone | 4105464600 |
| Practice Fax Number | 4105468388 |
| Mailing Telephone | 4105464600 |
| Mailing Fax Number | 4105468388 |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | 1317 | MD | Behavioral Health & Social Service Providers |
| Street Address |
220 TILGHMAN RD |
| City | SALISBURY |
| State | MD |
| Zip Code | 21804-1921 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164495867 | Rehabilitation Hospital Corporation of America LLC | Rehabilitation Hospital | 220 Tilghman Rd, Salisbury, MD 21804-1921 | 2006-02-12 |
| 1891352167 | James J. Morgan Md Phd | Psychiatry & Neurology | 220 Tilghman Rd, Salisbury, MD 21804-1921 | 2019-05-22 |
| 1104223668 | Amanda Morlock | Speech-Language Pathologist | 220 Tilghman Rd, Salisbury, MD 21804-1921 | 2014-11-29 |
| 1952662165 | Shannon Rae Webb | Occupational Therapist | 220 Tilghman Rd, Salisbury, MD 21804-1921 | 2012-06-04 |
| 1750604864 | Valerie Michelle Kriegisch | Physician Assistant | 220 Tilghman Rd, Salisbury, MD 21804-1921 | 2010-03-03 |
| 1740400225 | Judith Gail Manuel | Occupational Therapist | 220 Tilghman Rd, Salisbury, MD 21804-1921 | 2007-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578125969 | Lifes Energy Wellness Center Inc. | Community/Behavioral Health | 2324 West Zion Road Suite, Suite 112, Salisbury, MD 21804 | 2019-07-05 |
| 1578125340 | Lifes Energy Wellness Center Inc. | Counselor | 2324 West Zion Road Suite 112, Suite 112, Salisbury, MD 21804 | 2019-07-02 |
| 1093377855 | Lifes Energy Wellness Center Inc. | Clinic/Center | 2324 West Zion Road Suite #112, Salisbury, MD 21804 | 2019-07-02 |
| 1356904874 | Carly Showell Finkbeiner | Behavioral Analyst | 30507 Foxchase Dr, Salisbury, MD 21804 | 2019-04-19 |
| 1750844940 | Clifton Waters | Driver | 206 Davis St, Salisbury, MD 21804 | 2019-04-13 |
| 1487125415 | Rebecca J. Raygor | Social Worker | Wicomico High School, 201 Long Ave., Salisbury, MD 21804 | 2018-12-17 |
| 1639662745 | Peninsula Physical Therapy, LLC | Physical Therapist | 720 E College Ave Ste 11, Salisbury, MD 21804 | 2018-06-13 |
| 1376079533 | Kerry Choplin | Behavior Technician | 8032 Snow Hill Rd., Salisbury, MD 21804 | 2017-05-10 |
| 1558892992 | Three Lower Counties Community Services, Inc. | Clinic/Center | 1647 Woodbrooke Drive, Salisbury, MD 21804 | 2017-03-27 |
| 1508304759 | Driven Physiotherapy, LLC | Clinic/Center | 1029 Zircon Ct., Salisbury, MD 21804 | 2017-02-08 |
| Find all providers in zip 21804 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790748366 | Frank Elwin Gantz IIi | Clinical Neuropsychologist | Va Medical Center (11m-2), 1601 Brenner Av, Salisbury, NC 28144 | 2006-04-06 |
| 1427602242 | Erica Lyn Epstein | Clinical Neuropsychologist | 1601 Brenner Ave, Salisbury, NC 28144-2515 | 2019-07-30 |
| 1487105896 | Hudson Health Services | Clinical Neuropsychologist | 1506 Harting Drive, Salisbury, MD 21801 | 2016-10-20 |
| 1710379714 | Holly M Miskey | Clinical Neuropsychologist | 1601 Brenner Ave, Hefner Va Medical Center, 11m-2/ Mh&bs, Salisbury, NC 28144-2515 | 2015-02-27 |
| 1174915565 | Robert Desmond Shura | Clinical Neuropsychologist | 1601 Brenner Ave, 11m-2, Salisbury, NC 28144-2515 | 2015-02-23 |
| 1598179327 | Ramona Rostami | Clinical Neuropsychologist | 1601 Brenner Ave, Salisbury, NC 28144-2515 | 2014-06-19 |
| 1063769602 | Jared A. Rowland | Clinical Neuropsychologist | 1601 Brenner Ave, Mental Health and Behavioral Sciences 11m-2, Salisbury, NC 28144-2515 | 2012-08-14 |
| 1598099616 | Scott Alan Emsley | Clinical Neuropsychologist | 1601 Brenner Ave, 11m - 124, Salisbury, NC 28144-2515 | 2009-09-22 |
| 1336100957 | Robert Caesar | Clinical Neuropsychologist | 1601 Brenner Ave, Salisbury, NC 28144-2515 | 2006-03-31 |
| 1144289794 | Ruth Ellen Yoash-gantz | Clinical Neuropsychologist | 1601 Brenner Ave, Mh&bs/11m-2, Salisbury, NC 28144-2515 | 2006-03-22 |
| Find all providers in SALISBURY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.