DR. JEFFREY W GLASSHEIM (NPI# 1174685721) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1174685721 |
Entity Type | Individual |
Full Name | DR. JEFFREY W GLASSHEIM |
Credential | DO |
Practice Address |
1010 Las Lomas Rd Ne Suite 4 Albuquerque NM 87102-2634 |
Practice Telephone | 5052468700 |
Practice Fax Number | 8665719011 |
Mailing Telephone | 5052468700 |
Mailing Fax Number | 8665719011 |
Enumeration Date | 2006-12-13 |
Last Update Date | 2015-08-13 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207K00000X | Allergy & Immunology | A-1656-12 | NM | Allopathic & Osteopathic Physicians |
Y | 2084A0401X |
Psychiatry & Neurology Specialization: Addiction Medicine |
A-1656-12 | NM | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NM | 76622339 | 05 | |
WI | 43522500 | 05 |
Street Address |
1010 LAS LOMAS RD NE SUITE 4 |
City | ALBUQUERQUE |
State | NM |
Zip Code | 87102-2634 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477507069 | Rio Grande Counseling & Guidance Services, Pa | Social Worker | 1010 Las Lomas Rd Ne, Suite 4, Albuquerque, NM 87102-2634 | 2006-05-19 |
1699300707 | Eya Sofia Van Tassle | Social Worker | 1010 Las Lomas Rd Ne, Albuquerque, NM 87102-2634 | 2020-03-09 |
1801439625 | Eric Oscar Ortegren | Social Worker | 1010 Las Lomas Rd Ne, Albuquerque, NM 87102-2634 | 2019-10-24 |
1740758119 | Heidi Marie Hegemann | Social Worker | 1010 Las Lomas Rd Ne, Albuquerque, NM 87102-2634 | 2018-11-05 |
1750868584 | Meghan Louise Theiss | Counselor | 1010 Las Lomas Rd Ne, Albuquerque, NM 87102-2634 | 2018-07-24 |
1508385485 | Ankita Sharma | Social Worker | 1010 Las Lomas Rd Ne, Albuquerque, NM 87102-2634 | 2017-09-12 |
1417314162 | Jo-lynn Herbert | Social Worker | 1010 Las Lomas Rd Ne, Albuquerque, NM 87102-2634 | 2016-01-26 |
1942665864 | Lauren Cowden Turner Dolan | Counselor | 1010 Las Lomas Rd Ne, Albuquerque, NM 87102-2634 | 2015-12-18 |
1790180347 | America Elizabeth Kelleher | Marriage & Family Therapist | 1010 Las Lomas Rd Ne, Suite 4, Albuquerque, NM 87102-2634 | 2014-10-24 |
1265772040 | Megan Jennifer Shilvock | Counselor | 1010 Las Lomas Rd Ne, Albuquerque, NM 87102-2634 | 2013-02-15 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407454937 | Julie Wood | Acupuncturist | 1600 Luna Circle Nw, Albuquerque, NM 87102 | 2020-10-16 |
1770121410 | Emily Perez | Counselor | 218 Broadway Ne, Albuquerque, NM 87102 | 2019-12-12 |
1417503392 | Tess Holtry | Behavior Technician | 1424 Walter St Nw, Albuquerque, NM 87102 | 2019-08-15 |
1942867486 | Christy E Cheromiah | Behavioral Analyst | Open Skies Helathcare, 707 Broadway Blvd Ne, Albuquerque, NM 87102 | 2019-05-21 |
1730744103 | Faith Petra Maxwell | Behavior Technician | 900 Arno St, Albuquerque, NM 87102 | 2019-05-01 |
1568923761 | Storm Swinford | Behavioral Analyst | Open Skies Healthcare, 707 Broadway Blvd Ne, Albuquerque, NM 87102 | 2019-03-29 |
1093276651 | Tina Marie Trujillo | Behavioral Analyst | Open Skies Health Care, 707 Broadway Blvd Ne, Albuquerque, NM 87102 | 2019-03-27 |
1861950370 | Meghan Montoya | Student in an Organized Health Care Education/Training Program | 801 Camino De Salud, Albuquerque, NM 87102 | 2019-03-05 |
1174099329 | Dilshani N Tyson | Counselor | 600 1st Street Nw Ste 200, Albuquerque, NM 87102 | 2018-10-15 |
1962987925 | Tania L Goldfeder | Social Worker | New Mexico Solutions, 707 Broadway Ne Suite 500, Albuquerque, NM 87102 | 2018-09-26 |
Find all providers in zip 87102 |
Taxonomy Code | 2084A0401X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Addiction Medicine |
A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |
Notes: Source: American Osteopathic Board of Neurology and Psychiatry, 2007 [1/1/2008: definition added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760424154 | Florian Birkmayer | Psychiatry & Neurology | 2418 Miles Rd Se, The Birkmayer Institute LLC, Albuquerque, NM 87106-3224 | 2006-06-12 |
1952377319 | Gary Borrell | Psychiatry & Neurology | Unm Psychiatric Ctr, 2600 Marble Ne, Albuquerque, NM 87131-0001 | 2006-02-27 |
1093789265 | Javier Antonio Vera | Psychiatry & Neurology | 4253 Montgomery Blvd Ne Ste 220, Albuquerque, NM 87109-1130 | 2006-02-15 |
1497756670 | Michael O. Flanagan | Psychiatry & Neurology | 4209 Montgomery Blvd Ne, Albuquerque, NM 87109-1103 | 2005-08-10 |
1932600673 | Medclub Vip LLC | Psychiatry & Neurology | 4325 Carlisle Blvd Ne, Albuquerque, NM 87107-4810 | 2018-02-27 |
1689883456 | Daniel Duhigg | Psychiatry & Neurology | 1325 Wyoming Blvd Ne, Albuquerque, NM 87112-5046 | 2007-05-21 |
1336261783 | Robert Anthony Buser | Psychiatry & Neurology | 3405 Pan American Fwy Ne, Albuquerque, NM 87107-4786 | 2007-04-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699950741 | Gerardo J. Moreira, M.d., P.a. | Psychiatry & Neurology | 5060 Mcnutt Rd, Santa Teresa, NM 88008-9442 | 2008-01-08 |
1912061235 | Rio Valle Behavioral Health Centre | Psychiatry & Neurology | 101 Livinston Loop, Bldg C Suite 3, Santa Teresa, NM 88008 | 2006-12-21 |
1023307253 | Epoch Behavioral Healthcare Inc | Psychiatry & Neurology | 250 S Main St, Las Cruces, NM 88001-1278 | 2011-03-28 |
1013935675 | Gerardo J. Moreira | Psychiatry & Neurology | 5065 Mcnutt Rd, Santa Teresa, NM 88008-9442 | 2006-07-18 |
City | ALBUQUERQUE |
Zip Code | 87102 |
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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.