MR. GLEN WAYNE ANDERSON JR. (NPI# 1346369808) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346369808 |
| Entity Type | Individual |
| Full Name | MR. GLEN WAYNE ANDERSON JR. |
| Credential | M.A., L.P.A. |
| Practice Address |
1650 Greenfield St Wilmington NC 28401-6456 |
| Practice Telephone | 9107983500 |
| Practice Fax Number | 9107987834 |
| Mailing Telephone | 9107983500 |
| Mailing Fax Number | 9107987834 |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2020-03-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 2159 | NC | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 6107247 | 05 | |
| NC | BLUE CROSS BLUE SHIELD | 046AE | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760855704 | Glen Anderson | Pharmacist | 31 Tennis Village Dr, Heath, TX 75032-5995 | 2015-11-12 |
| 1801061288 | Glen Anderson | Physician Assistant | 3767 Main Street, Warrensburg, NY 12885-1890 | 2008-04-25 |
| 1245268366 | Glen Davis Anderson | Nurse Anesthetist, Certified Registered | 1 Medical Center Dr, Lebanon, NH 03756-1000 | 2006-06-29 |
| 1124089677 | Glen F Anderson | Surgery | 2530 Chicago Ave, #550, Minneapolis, MN 55404-4289 | 2006-03-31 |
| Street Address |
1650 GREENFIELD ST |
| City | WILMINGTON |
| State | NC |
| Zip Code | 28401-6456 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588662308 | Rufus Henry Temple Jr. | Obstetrics & Gynecology | 1650 Greenfield St, Wilmington, NC 28401-6456 | 2005-07-14 |
| 1104483999 | Ashley Mcphail Barton | Dietitian, Registered | 1650 Greenfield St, Wilmington, NC 28401-6456 | 2019-05-28 |
| 1275848723 | Lionel Elbert Willis IIi | Counselor | 1650 Greenfield St, Wilmington, NC 28401-6456 | 2010-08-09 |
| 1194056143 | Kristen Joy Goodwin | Nurse Practitioner | 1650 Greenfield St, Wilmington, NC 28401-6456 | 2010-01-14 |
| 1356500763 | Carol Rich Butler | Nurse Practitioner | 1650 Greenfield St, Wilmington, NC 28401-6456 | 2008-06-02 |
| 1255504239 | Eric N. Spencer | Counselor | 1650 Greenfield St, Wilmington, NC 28401-6456 | 2008-04-10 |
| 1043400021 | New Hanover County Department of Social Services | Case Management | 1650 Greenfield St, Wilmington, NC 28401-6456 | 2007-07-26 |
| 1508982620 | Emily Bryant Corrigan | Social Worker | 1650 Greenfield St, Wilmington, NC 28401-6456 | 2007-03-21 |
| 1356466130 | Melinda Mcenroe | Psychologist | 1650 Greenfield St, Wilmington, NC 28401-6456 | 2007-03-20 |
| 1194840942 | Ronald Keith Montgomery | Counselor | 1650 Greenfield St, Wilmington, NC 28401-6456 | 2007-03-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275002461 | Thrivetothrive, LLC | Physical Therapist | 1606 Physicians Drive, Inside Promina Health, Wilmington, NC 28401 | 2018-11-16 |
| 1841787454 | Kevin Christopher Panebianco | Family Medicine | 1911 S 17th St Ste 130a, Wilmington, NC 28401 | 2018-04-18 |
| 1518472588 | Michelle Bruin | Family Medicine | 415 S. 2nd Street, Wilmington, NC 28401 | 2017-12-12 |
| 1639617343 | Anna Farwell | Behavior Technician | 3904 Oleander Dr. Suite 102, Wilmington, NC 28401 | 2017-02-02 |
| 1588034144 | Dimitri Zivko Pitovski | Allergy & Immunology | 1099 Medical Center Dr Unit 100b, Wilmington, NC 28401 | 2015-09-25 |
| 1629457007 | Megan Havel | Counselor | 1512 E Lakeshore Drive, Wilmington, NC 28401 | 2015-05-19 |
| 1154709251 | Lance Hutchens | Dentist | 1611 Doctors Cir, Wilmington, NC 28401 | 2015-05-11 |
| 1609281161 | Diane Pittman Whitford | Counselor | 313 Walnut St., Wilmington, NC 28401 | 2014-06-24 |
| 1942550728 | Bryan Cole Chalk | Nurse Anesthetist, Certified Registered | 2131 S 17th Street, Wilmington, NC 28401 | 2012-09-19 |
| 1740566546 | Valerie Baars | Pharmacist | 2302 S 17th Street, Wilmington, NC 28401 | 2011-10-25 |
| Find all providers in zip 28401 | ||||
| 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 |
|---|---|---|---|---|
| 1679193114 | Inroad Behavioral and Social Health | Psychologist | 3304 Old Capitol Trl Ste 201, Wilmington, DE 19808-6210 | 2020-04-24 |
| 1609496124 | Doko Medical Inc. | Psychologist | 3422 Old Capitol Trail, # 626, Wilmington, DE 19808 | 2020-04-24 |
| 1407487226 | James Francis Skane Jr. | Psychologist | 123 S 29th St, Wilmington, NC 28403-1223 | 2020-01-30 |
| 1346733631 | Renee Davis | Psychologist | 920 Morningdale Dr, Wilmington, DE 19810-1458 | 2018-06-11 |
| 1982103206 | Elizabeth De La Pena | Psychologist | 1333 Island Ave, Wilmington, CA 90744-2501 | 2018-02-02 |
| 1841728532 | Rogelio Mercado | Psychologist | 1801 Rockland Rd Ste 201, Wilmington, DE 19803-3648 | 2017-05-25 |
| 1497289375 | Aitza Galarza-hernandez | Psychologist | 7517 Quail Woods Rd, Wilmington, NC 28411-7273 | 2017-04-17 |
| 1407206816 | Leeann Trudel | Psychologist | 114 Rockland Cir, Wilmington, DE 19803-4542 | 2016-06-16 |
| 1972964427 | Ostin M Warren | Psychologist | 3411 N Rockfield Dr, Wilmington, DE 19810-3237 | 2016-03-11 |
| 1164882353 | Erika Blinn Geisler | Psychologist | 330 Military Cutoff Rd, Suite A-4, Wilmington, NC 28405-8356 | 2016-03-01 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 28401 |
Please comment or provide details below to improve the information on MR. GLEN WAYNE ANDERSON JR..
| 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.