MR. JAMES RORY GLENNON (NPI# 1326348459) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326348459 |
| Entity Type | Individual |
| Full Name | MR. JAMES RORY GLENNON |
| Other Name | MS. LAUREN ROSE GLENNON |
| Credential | PSY.D. |
| Practice Address |
1 Wahoo Ave Naval Branch Health Clinic Groton CT 06349-5600 |
| Practice Telephone | 8606944966 |
| Practice Fax Number | 8606942101 |
| Mailing Telephone | 8606944966 |
| Mailing Fax Number | 8606942101 |
| Enumeration Date | 2010-10-22 |
| Last Update Date | 2020-02-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | 003383 | CT | Behavioral Health & Social Service Providers |
| N | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
003383 | CT | Behavioral Health & Social Service Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
1 WAHOO AVE NAVAL BRANCH HEALTH CLINIC |
| City | GROTON |
| State | CT |
| Zip Code | 06349-5600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043207004 | Matthew Braden Burns Miller | Dentist | 1 Wahoo Ave, Groton, CT 06349 | 2005-10-04 |
| 1063027407 | Jimmy Nazih Suliman | Dentist | 1 Wahoo Ave, Groton, CT 06349-2324 | 2020-09-12 |
| 1790395242 | Duc-nhan Nguyen Pham | Dentist | 1 Wahoo Ave, Groton, CT 06349-2324 | 2020-08-08 |
| 1770112708 | Amanda Kathleen Dobyns | Occupational Therapist | 1 Wahoo Ave, Groton, CT 06349-2324 | 2020-04-02 |
| 1831732825 | Cody Clark | Dentist | 1 Wahoo Ave, Groton, CT 06349-2324 | 2019-10-22 |
| 1477103059 | Jordan Taylor Rucinski | Dentist | 1 Wahoo Ave, Groton, CT 06349-2324 | 2019-09-16 |
| 1699335372 | Cynthia Daigneault | Counselor | 1 Wahoo Ave, Groton, CT 06349-2324 | 2019-06-16 |
| 1942868211 | Cameron Anson Martin | Military Health Care Provider | 1 Wahoo Ave, Groton, CT 06340 | 2019-06-03 |
| 1104386903 | Zena Sabath | General Practice | 1 Wahoo Ave, Groton, CT 06349-2324 | 2019-03-20 |
| 1538636527 | Winston Eugene Young | Dentist | 1 Wahoo Ave, Groton, CT 06349-2324 | 2018-10-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205434347 | Mvca | Optometrist | Navy Submarine Base New London, Bldg 484, Groton, CT 06349 | 2020-10-12 |
| 1376194274 | Christopher Lee Roy Smith | Military Health Care Provider | Uss San Juan (ssn 751), Groton, CT 06349 | 2019-09-23 |
| 1588127575 | Morgan Ross Jones | Student in an Organized Health Care Education/Training Program | Bx 159 Navsubase Nlon, Groton, CT 06349 | 2019-04-08 |
| 1689179640 | David Saunders | Military Health Care Provider | 159 Navsubase Nlon, Groton, CT 06349 | 2018-03-29 |
| 1013264423 | Dennis Buenaventura Custodio | Military Health Care Provider | 69 Trout Ave, Naval Undersea Medical Institute, Groton, CT 06349 | 2012-08-06 |
| 1609013549 | Nicolas David Mendoza | Military Health Care Provider | Uss Hawaii (ssn 776), Fpo, AE 06349 | 2009-01-14 |
| 1881843084 | Mark Francis Jarvis | Military Health Care Provider | Nssc Nlon, Bldg 76, Groton, CT 06349 | 2008-09-11 |
| 1780882738 | Michael Nutt | Military Health Care Provider | Bldg 517 Taugtog Ave, Navsubscol, Groton, CT 06349 | 2007-07-10 |
| 1497811343 | Keith Benjamin Hoekman | Nurse Practitioner | 1 Wahoo Dr, Groton, CT 06349 | 2006-12-28 |
| 1881604163 | Christina E Toufexis | Pediatrics | 1 Wahoo Drive, Groton, CT 06349 | 2006-08-09 |
| Find all providers in zip 06349 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326182726 | Gerald L Borofsky | Psychologist | 641 Chicopee Row, Groton, MA 01450-1457 | 2007-02-18 |
| 1821198508 | Thomas Joseph Maciolek | Psychologist | 616 Gold Star Hwy, Groton, CT 06340-6221 | 2006-09-23 |
| 1992733901 | Robert Michael Bahm | Psychologist | 27 Carmichael Way, Groton, MA 01450-2081 | 2006-06-29 |
| 1801868732 | Christine Elizabeth Musello | Psychologist | 142 Main St, Groton, MA 01450-1271 | 2006-02-04 |
| 1568996528 | Jbw Psychological Services LLC | Psychologist | 8 W Main St, Groton, MA 01450-1631 | 2017-04-17 |
| 1437607538 | Growing Potential, LLC | Psychologist | 495 Gold Star Hwy Ste 324, Groton, CT 06340-6230 | 2016-09-17 |
| 1467726737 | Maxine L Varanko | Psychologist | 1 Wahoo Ave, Groton, CT 06349-2324 | 2012-03-02 |
| 1952620015 | Jennifer Beth Warkentin | Psychologist | 8 W Main St, Groton, MA 01450-1631 | 2010-05-27 |
| 1649596214 | Jennifer Selden, Ph.d., LLC | Psychologist | 495 Gold Star Hwy, Suite 200, Groton, CT 06340-6228 | 2010-04-08 |
| 1740436344 | Fort Hill Counselors LLC | Psychologist | 1 Fort Hill Rd, Groton, CT 06340-4799 | 2008-08-14 |
| Find all providers in GROTON | ||||
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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.