GLEN C BANNISTER JR. (NPI# 1275680027) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275680027 |
| Entity Type | Individual |
| Full Name | GLEN C BANNISTER JR. |
| Credential | ED.D. |
| Practice Address |
4216 Lomac St Montgomery AL 36106-2817 |
| Practice Telephone | 3342775956 |
| Mailing Telephone | 3342775956 |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 125 | AL | Behavioral Health & Social Service Providers |
| Street Address |
4216 LOMAC ST |
| City | MONTGOMERY |
| State | AL |
| Zip Code | 36106-2817 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326105321 | Samuel Douglas Collier | Marriage & Family Therapist | 4216 Lomac St, Montgomery, AL 36106-2817 | 2007-01-02 |
| 1972777639 | Catherine Hudson Collier | Counselor | 4216 Lomac St, Montgomery, AL 36106-2817 | 2008-04-14 |
| 1043330194 | Saralu Phillippi Belkofer | Counselor | 4216 Lomac St, Montgomery, AL 36106-2817 | 2007-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235747205 | Rural Urgent Care LLC | Clinic/Center | 3039 Vaughn Road, Montgomery, AL 36106 | 2020-07-16 |
| 1548733306 | Bennett Family Dentistry, LLC | Dentist | 4270 Carmichael Road, Montgomery, AL 36106 | 2019-01-04 |
| 1588133854 | Lori Leanne Fail | Physical Therapist | 1615 Windsor Hill Court, Montgomery, AL 36106 | 2018-11-16 |
| 1073020749 | Charlene Richmond Harrell | Chiropractor | 2900 Zelda Rd., Suite A, Montgomery, AL 36106 | 2018-01-03 |
| 1780123109 | Montgomery Accident and Injury Center, Inc | Nurse Practitioner | 2900 Zelda Rd, Ste B, Montgomery, AL 36106 | 2017-02-17 |
| 1467843573 | Ernest Porterfield | Non-emergency Medical Transport (VAN) | 4183 Carmichael Road, Suite A, Montgomery, AL 36106 | 2015-02-11 |
| 1114334281 | Daniel Gerald O'bryant | Specialist/Technologist | 1160 Navarro Avenue, Montgomery, AL 36106 | 2014-07-21 |
| 1801213764 | Amanda Hodge | Specialist/Technologist | 4605 Cherry Tree Terrace, Montgomery, AL 36106 | 2014-03-27 |
| 1871861542 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1758 Park Pl Ste 102, Montgomery, AL 36106 | 2011-12-08 |
| 1578862546 | Helping Hands Preventitive Health Center | Community/Behavioral Health | 2015 Mulberry St, Montgomery, AL 36106 | 2011-03-16 |
| Find all providers in zip 36106 | ||||
| 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 |
|---|---|---|---|---|
| 1194284265 | Jeremiah Precious Barnett | Psychologist | 8449 Crossland Loop Ste 121, Montgomery, AL 36117-0919 | 2019-03-18 |
| 1194203414 | Coopers Mental Healh Consultations | Psychologist | 8743 Ridgestone Ct, Montgomery, AL 36117 | 2018-07-30 |
| 1265880827 | The Counseling Corner, LLC | Psychologist | 4137 Carmichael Rd Ste 110, Montgomery, AL 36106-3614 | 2016-05-24 |
| 1467823906 | Central Alabama Psychology, P. C. | Psychologist | 2571 Bell Rd, Montgomery, AL 36117-4369 | 2015-10-09 |
| 1720338361 | Alabama Behavioral Health Associates | Psychologist | 1228 Carmichael Way, Montgomery, AL 36106-3671 | 2012-09-11 |
| 1740469808 | Diane Gail Stoebner-may | Psychologist | 6369 N Fm 1486 Rd, Montgomery, TX 77356-6689 | 2007-10-25 |
| 1326262577 | James Leroy Pointer | Psychologist | 2140 Upper Wetumpka Rd, Montgomery, AL 36107-1342 | 2007-04-12 |
| 1083776827 | Curry Hammack | Psychologist | 8131 Old Federal Rd, Montgomery, AL 36117-8009 | 2006-12-15 |
| 1053334029 | Carol Skelton | Psychologist | 1736 Taliaferro Trl, Montgomery, AL 36117-7759 | 2006-07-25 |
| 1811985690 | Vonceil Cornelius Smith | Psychologist | 6707 Taylor Cir, Montgomery, AL 36117-7706 | 2005-10-06 |
| Find all providers in MONTGOMERY | ||||
| City | MONTGOMERY |
| Zip Code | 36106 |
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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.