GLENN MOORE (NPI# 1518416015) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1518416015 |
Entity Type | Individual |
Full Name | GLENN MOORE |
Credential | MS |
Practice Address |
9 Kindle Ct Clayton NJ 08312-2158 |
Practice Telephone | 2155182827 |
Mailing Telephone | 2155182827 |
Enumeration Date | 2016-09-25 |
Last Update Date | 2016-09-25 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101YP2500X |
Counselor Specialization: Professional |
PC008809 | PA | Behavioral Health & Social Service Providers |
N | 101YP2500X |
Counselor Specialization: Professional |
PC-0000711 | DE | Behavioral Health & Social Service Providers |
Y | 101YP2500X |
Counselor Specialization: Professional |
37PC00560000 | NJ | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669695870 | Glenn Moore | Preventive Medicine | 40732 Van Dyke Ave., Sterling Heights, MI 48313-3741 | 2007-04-10 |
1396735577 | Glenn I Moore | Obstetrics & Gynecology | 1720 Nicholasville Rd, Suite 400, Lexington, KY 40503-1475 | 2005-10-27 |
Street Address |
9 KINDLE CT |
City | CLAYTON |
State | NJ |
Zip Code | 08312-2158 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669982153 | Assoc. for Retarded Citizens, Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1 East Clayton Avenue, Clayton, NJ 08312 | 2017-10-10 |
1083053409 | Traciey Juanita Coats | Technician | 222 North Dennis Drive, Clayton, NJ 08312 | 2013-06-19 |
1073853404 | Clayton Borough Board of Education | Local Education Agency (LEA) | 350 E Clinton St, Clayton, NJ 08312-1200 | 2013-02-21 |
1740881200 | Guylante Jeune | Nurse Practitioner | 121 E Howard St, Clayton, NJ 08312-1237 | 2020-11-02 |
1447882618 | Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 147 W Academy St, Clayton, NJ 08312-1435 | 2020-02-06 |
1568512010 | Helping Hand Behavioral Health Corp. | Clinic/Center | 25 Pop Kramer Blvd, Clayton, NJ 08312-1500 | 2007-01-10 |
1770085532 | Helping Hand Behavioral Health Corp | Clinic/Center | 25 Pop Kramer Blvd, Clayton, NJ 08312-1500 | 2018-03-07 |
1700284734 | Helping Hand Behavioral Health Corp | Clinic/Center | 25 Pop Kramer Blvd, Clayton, NJ 08312-1500 | 2014-12-08 |
1568867802 | Helping Hand Behavioral Health Corp | Clinic/Center | 25 Pop Kramer Blvd, Clayton, NJ 08312-1500 | 2014-10-29 |
1770589889 | Taras Walter Spivak | Optometrist | 128 N Delsea Dr, Clayton, NJ 08312-1602 | 2005-06-23 |
Find all providers in zip 08312 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366058711 | David Oliver | Counselor | 8000 Bonhomme Ave Ste 201d, Clayton, MO 63105-3515 | 2020-09-21 |
1306459060 | Misha Benavides Pelligreen | Counselor | 7556 Wydown Blvd Apt 2e, Clayton, MO 63105-2752 | 2020-08-24 |
1437781978 | Leigh H Gerard | Counselor | 225 S Meramec Ave # 721t, Clayton, MO 63105-3669 | 2020-02-12 |
1518516053 | Elise Marie Ringenberg | Counselor | 8000 Bonhomme Ave Ste 406, Clayton, MO 63105-3515 | 2019-09-07 |
1700446283 | Trinity Wellness, LLC | Counselor | 6365 Clayton Rd Fl 2, Clayton, MO 63117-1808 | 2019-06-18 |
1225527930 | Jason Duchinsky | Counselor | 141 N Meramec Ave Ste 10b, Clayton, MO 63105-3393 | 2018-05-08 |
1114436268 | Janice Rando | Counselor | 200 E Main St Ste 201, Clayton, NC 27520-2487 | 2017-09-20 |
1205356961 | Mckenzie Bossert | Counselor | 510 W Main St Ste 100, Clayton, NC 27520-1650 | 2017-06-23 |
1225572282 | Camille E. Neal | Counselor | 232 River Hills Dr, Clayton, NC 27527-5805 | 2016-12-10 |
1083001341 | Dawn Harvel | Counselor | 11448 Us Hwy 70 W, Clayton, NC 27520 | 2015-04-23 |
Find all providers in CLAYTON |
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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.