GLENWOOD, INC. (NPI# 1598937138) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598937138 |
| Entity Type | Organization |
| Organization Name | GLENWOOD, INC. |
| Practice Address |
150 Glenwood Ln Birmingham AL 35242-5700 |
| Practice Telephone | 2059692880 |
| Practice Fax Number | 2057953390 |
| Mailing Telephone | 2059692880 |
| Mailing Fax Number | 2057953390 |
| Enumeration Date | 2008-03-24 |
| Last Update Date | 2008-03-24 |
| Authorized Official Name | MR. PETE MCCALLA (MIS MANAGER) |
| Authorized Official Telephone | 2057953218 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | AL | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | RTF0015H | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285646430 | Glenwood, Inc. | Clinic/Center | 150 Glenwood Ln, Birmingham, AL 35242-5700 | 2006-08-13 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporation | GLENWOOD, INC. | 3 RIDGEHILL RD. , ATTLEBORO, MA 12703 |
| Virginia Business Entity | GLENWOOD, INC. | 11824 FISHING POINT DR , NEWPORT NEWS, VA 23606 |
| Street Address |
150 GLENWOOD LN |
| City | BIRMINGHAM |
| State | AL |
| Zip Code | 35242-5700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467409938 | Laura A Stoppelbein | Psychologist | 150 Glenwood Ln, Birmingham, AL 35242-5700 | 2006-05-28 |
| 1811509227 | Gina Martin | Speech-Language Pathologist | 150 Glenwood Ln, Birmingham, AL 35242-5700 | 2020-08-18 |
| 1831709880 | Vinetra King | Psychologist | 150 Glenwood Ln, Birmingham, AL 35242-5700 | 2020-08-05 |
| 1417502089 | Percy Storey IIi | Counselor | 150 Glenwood Ln, Birmingham, AL 35242-5700 | 2019-08-09 |
| 1073179172 | Alexis Michele Kruse | Occupational Therapist | 150 Glenwood Ln, Birmingham, AL 35242-5700 | 2019-05-14 |
| 1386110203 | Barathi Chinnappan | Behavioral Analyst | 150 Glenwood Ln, Birmingham, AL 35242-5700 | 2018-10-18 |
| 1619443553 | Amanda Niedfeld | Behavioral Analyst | 150 Glenwood Ln, Birmingham, AL 35242-5700 | 2018-10-18 |
| 1104392026 | Cory Johnson | Behavioral Analyst | 150 Glenwood Ln, Birmingham, AL 35242-5700 | 2018-10-18 |
| 1548736465 | Benjamin Hatley | Behavioral Analyst | 150 Glenwood Ln, Birmingham, AL 35242-5700 | 2018-10-18 |
| 1952806044 | Kimberly Carden | Social Worker | 150 Glenwood Ln, Birmingham, AL 35242-5700 | 2018-03-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558960138 | A Friend of Mind | Behavioral Analyst | 5271 Harvest Ridge Ln, Birmingham, AL 35242 | 2020-10-23 |
| 1295347789 | Restore Therapy Services, Ltd | Physical Therapist | 6328 Farley Lane, Birmingham, AL 35242 | 2020-08-18 |
| 1447894175 | Publix Alabama, LLC | Durable Medical Equipment & Medical Supplies | 3201 Endeavor Lane, Vestavia Hills, AL 35242 | 2019-11-06 |
| 1952956468 | Publix Alabama, LLC | Durable Medical Equipment & Medical Supplies | 6219 Tattersall Blvd., Hoover, AL 35242 | 2019-08-02 |
| 1033670120 | Rachel Monahan -patterson | Registered Nurse | 7191 Cahaba Valley Road, Suite 300, Birmingham, AL 35242 | 2019-03-29 |
| 1891283818 | Elizabeth Mcrae | Counselor | 150 Glenwood Lane, Birmingham, AL 35242 | 2018-04-25 |
| 1326549429 | Mary Virginia Colvert | Nurse Practitioner | 200 Riverhill Business Park, #250, Birmingham, AL 35242 | 2018-02-23 |
| 1669980504 | Liberty Park Anesthesia Services, LLC | Nurse Anesthetist, Certified Registered | 1940 Stonegate Dr Ste 30, Vestavia Hls, AL 35242 | 2018-01-12 |
| 1942710983 | Southern Dental Sleep Specialists LLC | Clinic/Center | 4960 Valleydale Rd Ste 100, Birmingham, AL 35242 | 2017-10-04 |
| 1922526557 | Sarah Katherine Fleming | Specialist/Technologist | 1524 Southern Drive, Birmingham, AL 35242 | 2017-09-04 |
| Find all providers in zip 35242 | ||||
| Taxonomy Code | 322D00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Emotionally Disturbed Children |
| A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
| Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063786168 | Adolescence In Motion | Residential Treatment Facility, Emotionally Disturbed Children | 237 N Old Woodward Ave Ste 5, Birmingham, MI 48009-5305 | 2012-03-07 |
| 1750472932 | The Salvation Army, A Georgia Corporation | Residential Treatment Facility, Emotionally Disturbed Children | 6001 Crestwood Blvd, Birmingham, AL 35212-4203 | 2006-09-27 |
| 1003911066 | National Mentor Healthcare, LLC | Residential Treatment Facility, Emotionally Disturbed Children | 1 Perimeter Park S, Suite 100 N, Birmingham, AL 35243-2327 | 2006-09-14 |
| 1255444584 | Children's Village | Residential Treatment Facility, Emotionally Disturbed Children | 2001 18th St Sw, Birmingham, AL 35211-5402 | 2006-08-17 |
| 1457604977 | Alabama Clinical Schools, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 1221 Alton Dr, Birmingham, AL 35210-4308 | 2012-10-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952701112 | Tears Teens Empowerment Awareness With Resolutions, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 206 E Oak St, Tuskegee, AL 36083-1819 | 2014-08-25 |
| 1093068199 | Working On Womanhood Program | Residential Treatment Facility, Emotionally Disturbed Children | 6001 12th Ave E Ste B, Tuscaloosa, AL 35405-5163 | 2012-10-26 |
| 1568793362 | Sequel Tsi of Alabama, LLC New Directions | Residential Treatment Facility, Emotionally Disturbed Children | 318a Hamer Rd, Owens Cross Roads, AL 35763-9612 | 2010-01-19 |
| 1700116373 | Sequel Tsi of Paint Rock Valley, LLC | Residential Treatment Facility, Emotionally Disturbed Children | 3890 County Road 20, Trenton, AL 35774-7423 | 2010-01-05 |
| 1528398161 | Atonement Inc | Residential Treatment Facility, Emotionally Disturbed Children | 3570 11th St Ne, Tuscaloosa, AL 35404-1906 | 2010-01-04 |
| 1295064269 | Camellia Therapeutic Foster Agency LLC | Residential Treatment Facility, Emotionally Disturbed Children | 407 S Seale Rd, Phenix City, AL 36869-7304 | 2009-12-21 |
| 1740518117 | Moriah Christian Children's Home | Residential Treatment Facility, Emotionally Disturbed Children | 417 County Road 446, Dutton, AL 35744-8457 | 2009-11-24 |
| 1346482866 | Pinnacle Behavior Health, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 29495 Copperhead Lane, Elkmont, AL 35620 | 2009-03-30 |
| 1639347818 | Southeast Alabama Counseling & Behavioral Specialist | Residential Treatment Facility, Emotionally Disturbed Children | 407 Honeysuckle Rd Ste 207, Dothan, AL 36305 | 2008-02-11 |
| 1841480571 | Children's Aid Society | Residential Treatment Facility, Emotionally Disturbed Children | 181 West Valley Ave, Suite 300, Homewood, AL 35209-3698 | 2007-07-30 |
| Find all providers with the same taxonomy | ||||
| City | BIRMINGHAM |
| Zip Code | 35242 |
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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.