DR. MARY LEONORA GLENN (NPI# 1164558318) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164558318 |
| Entity Type | Individual |
| Full Name | DR. MARY LEONORA GLENN |
| Credential | PH.D. |
| Practice Address |
256 Concord Ave Cambridge MA 02138-1337 |
| Mailing Address |
14 Park Ln Jamaica Plain MA 02130-2906 |
| Practice Telephone | 6178644220 |
| Mailing Telephone | 6175247290 |
| Mailing Fax Number | 6175247290 |
| Enumeration Date | 2007-02-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 103T00000X | Psychologist | 6462 | MA | Behavioral Health & Social Service Providers |
| X | 103TA0700X |
Psychologist Specialization: Adult Development & Aging |
6462 | MA | Behavioral Health & Social Service Providers |
| X | 103TC0700X |
Psychologist Specialization: Clinical |
6462 | MA | Behavioral Health & Social Service Providers |
| X | 103TF0000X |
Psychologist Specialization: Family |
6462 | MA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | BLUECROSSBLUESHIELD | WO5206 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376893875 | Mary Glenn | Pharmacist | 1071 S. Lake Dr., Lexington, SC 29073 | 2012-09-12 |
| 1689897860 | Mary K Glenn | Counselor | 8809 John C. Lodge Service Drive, Building #5, Detroit, MI 48202 | 2007-04-10 |
| 1841514759 | Mary Louise Glenn | Pharmacist | 1620 Century Center Pkwy, Memphis, TN 38134-0181 | 2010-03-22 |
| 1396994984 | Mary Delores Glenn | Counselor | 2516 Oakland Blvd, Suite 5, Fort Worth, TX 76103-3201 | 2008-09-18 |
| 1790845949 | Mary A Glenn | Pediatrics | 495 Gold Star Hwy, Suite 120, Groton, CT 06340-6228 | 2006-12-11 |
| Street Address |
256 CONCORD AVE |
| City | CAMBRIDGE |
| State | MA |
| Zip Code | 02138-1337 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801953104 | Matthew Leeds | Psychologist | 256 Concord Ave, Cambridge, MA 02138-1337 | 2007-01-03 |
| 1962520437 | Catalina Arboleda | Psychologist | 256 Concord Ave, Cambridge, MA 02138-1337 | 2007-03-26 |
| 1609909829 | Glenn Roger Johnson | Psychologist | 256 Concord Ave, Cambridge, MA 02138-1337 | 2007-03-14 |
| 1154475291 | Jill Elka Harkaway | Psychologist | 256 Concord Ave, Cambridge, MA 02138-1337 | 2007-01-23 |
| 1700938842 | Jocelyn Reyman Tager | Psychologist | 256 Concord Ave, Cambridge, MA 02138-1337 | 2007-01-17 |
| 1730230483 | Susan L. Rowley | Psychologist | 256 Concord Ave, Cambridge, MA 02138-1337 | 2007-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922618610 | Khushboo Vijay Bhatia | Student in an Organized Health Care Education/Training Program | Internal Medicine Residency Program, Mount Auburn Hospi, 330 Mt. Auburn Street, Cambridge, MA 02138 | 2020-08-06 |
| 1780204156 | Ashna Grover | Student in an Organized Health Care Education/Training Program | 330 Mt Auburn Street Mount Auburn Hospital, Internal Medicine Residency Program, Cambridge, MA 02138 | 2020-04-25 |
| 1790330298 | Cambridge Periodontics LLC | Dentist | 1692 Massachusetts Ave Ste 3, Cambridge, MA 02138 | 2019-08-02 |
| 1295389765 | Yulia Levit | Technician/Technologist | 1208 Massachussets Av, Cambridge, MA 02138 | 2019-08-01 |
| 1720645393 | Chinmay Tusharkumar Jani | Student in an Organized Health Care Education/Training Program | Mount Auburn Hospital, 330 Mt Auburn Street, Cambridge, MA 02138 | 2019-05-20 |
| 1386209831 | Alexander Ryan Walker | Internal Medicine | 300 Mount Auburn Street Mount Auburn Hospital, Dept. of Medicine, Cambridge, MA 02138 | 2019-05-09 |
| 1659844868 | Aimee Hsieh | Social Worker | 525 Mount Auburn Street, Cambridge, MA 02138 | 2019-01-10 |
| 1043733389 | Armida Fruzzetti | Psychologist | 900 Concord Avenue, Cambridge, MA 02138 | 2017-07-19 |
| 1174984827 | Jenna Mezin Schmid | Psychologist | 75 Mt Auburn St 4 East, Harvard University Health Services, Cambridge, MA 02138 | 2016-03-09 |
| 1316313208 | Kelly Abbott | Optometrist | 12 Eliot St., Cambridge, MA 02138 | 2015-08-14 |
| Find all providers in zip 02138 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043793722 | Lucy Curell | Psychologist | 278 Washington St Apt 2, Cambridge, MA 02139-3506 | 2018-09-10 |
| 1023504156 | Robert Graham Kegan | Psychologist | 71 Larch Rd, Cambridge, MA 02138-3316 | 2018-07-01 |
| 1063907590 | Meg Alison Bond | Psychologist | 61 Dudley St, Cambridge, MA 02140-2419 | 2018-06-27 |
| 1982199816 | Lisa A Cosgrove | Psychologist | 415 Broadway, Cambridge, MA 02138-4278 | 2018-06-23 |
| 1811480924 | Nancy Clare Kehoe | Psychologist | 100 Cushing St, Cambridge, MA 02138-4584 | 2018-06-13 |
| 1033601547 | Arlene Miller | Psychologist | 75 Richdale Ave Ste 10, Cambridge, MA 02140-2608 | 2018-05-31 |
| 1568952810 | Janet Amphlett | Psychologist | 47 Thorndike St, Cambridge, MA 02141-1799 | 2018-05-12 |
| 1871082834 | William Mcmullen | Psychologist | 109 Antrim St, Cambridge, MA 02139-1133 | 2018-05-05 |
| 1912496183 | Katherine Ann Coleman | Psychologist | 44 Concord Ave, Cambridge, MA 02138-2380 | 2018-05-03 |
| 1811485709 | Craig Rodgers | Psychologist | 872 Mass Ave Apt 908, Cambridge, MA 02139-3018 | 2018-04-25 |
| Find all providers in CAMBRIDGE | ||||
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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.