DR. DOUGLAS JAMES GLENN JR. (NPI# 1811336126) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811336126 |
| Entity Type | Individual |
| Full Name | DR. DOUGLAS JAMES GLENN JR. |
| Credential | M.D. |
| Practice Address |
701 Grove Rd Fl 1 Greenville SC 29605-4210 |
| Mailing Address |
1 Independence Pt Ste 212 Greenville SC 29615-4536 |
| Practice Telephone | 8644557899 |
| Mailing Telephone | 8647976252 |
| Enumeration Date | 2013-06-19 |
| Last Update Date | 2020-01-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | LL35988 | SC | Allopathic & Osteopathic Physicians |
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
35988 | SC | Allopathic & Osteopathic Physicians |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
LL35988 | SC | Allopathic & Osteopathic Physicians |
| Street Address |
701 GROVE RD FL 1 |
| City | GREENVILLE |
| State | SC |
| Zip Code | 29605-4210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720081987 | Christopher Ira Kauffman | Psychiatry & Neurology | 701 Grove Rd Fl 1, Greenville, SC 29605-4210 | 2005-05-23 |
| 1104464353 | David Stepanovich Yasabash | Nurse Practitioner | 701 Grove Rd Fl 1, Greenville, SC 29605-4210 | 2019-12-18 |
| 1932745874 | Daniel William Miller | Physician Assistant | 701 Grove Rd Fl 1, Greenville, SC 29605-4210 | 2019-11-26 |
| 1225672488 | Rebekah Christine Carrington | Emergency Medicine | 701 Grove Rd Fl 1, Greenville, SC 29605-4210 | 2019-10-31 |
| 1588211197 | Jacqueline Gabrielle Wiles | Nurse Practitioner | 701 Grove Rd Fl 1, Greenville, SC 29605-4210 | 2019-08-20 |
| 1720634702 | Lindsey Stevenson Coutu | Nurse Practitioner | 701 Grove Rd Fl 1, Greenville, SC 29605-4210 | 2019-08-14 |
| 1609429570 | David Svintsitski | Physician Assistant | 701 Grove Rd Fl 1, Greenville, SC 29605-4210 | 2019-07-19 |
| 1366008468 | Jennifer Baulieu Tefft | Physician Assistant | 701 Grove Rd Fl 1, Greenville, SC 29605-4210 | 2019-05-14 |
| 1891257234 | Ashley Michelle Lane | Registered Nurse | 701 Grove Rd Fl 1, Greenville, SC 29605-4210 | 2019-04-04 |
| 1932669900 | Donald Reed Stanton II | Nurse Practitioner | 701 Grove Rd Fl 1, Greenville, SC 29605-4210 | 2019-03-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205306099 | Prisma Health University Medical Group | Family Medicine | 110 Osage Drive, Greenville, SC 29605 | 2018-12-05 |
| 1306325626 | Lauren Foster Fiscus | Occupational Therapist | 1900 Augusta Street, Suite 2500, Greenville, SC 29605 | 2018-08-08 |
| 1063914372 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 1720 Augusta St, Greenville, SC 29605 | 2018-03-02 |
| 1144748385 | Johanna Ruth Henry | Speech-Language Pathologist | 1900 Augusta St., Suite 2500, Greenville, SC 29605 | 2017-09-08 |
| 1477083483 | Alexis Dean Pedigo | Speech-Language Pathologist | 1900 Augusta St, Suite 2500, Greenville, SC 29605 | 2017-06-13 |
| 1134658420 | Trace Christopher Deighan | Obstetrics & Gynecology | 890 West Faris Road, Suite 470, Greenville, SC 29605 | 2017-06-08 |
| 1023569837 | Blessed With Goodness, LLC | In Home Supportive Care | 716 E. Fairfield Road, Unit 120 (mailbox # 14), Greenville, SC 29605 | 2016-10-17 |
| 1972050953 | Suha Umina | Pharmacist | 975 W. Faris Road, Greenville, SC 29605 | 2016-09-07 |
| 1124470976 | Meredith Laine Cavagrotti | Specialist/Technologist | 700 Grove Rd, Greenville, SC 29605 | 2016-07-05 |
| 1205286895 | Med-trans Corporation | Ambulance | 552 Perimeter Rd, Greenville, SC 29605 | 2016-06-15 |
| Find all providers in zip 29605 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518591858 | Awakenings Psychiatric Services, PC | Psychiatry & Neurology | 1010 E North St Ste 1a, Greenville, SC 29601-3166 | 2020-02-25 |
| 1386192540 | Arc Psychiatry LLC | Psychiatry & Neurology | 96 Villa Rd, Greenville, SC 29615-3052 | 2016-09-16 |
| 1467863506 | Allison Mcdade | Psychiatry & Neurology | 2710 Sunset Strip Ste D, Greenville, TX 75402 | 2014-05-12 |
| 1457681025 | Woodlands Medical Clinic Pa | Psychiatry & Neurology | 155 Brozzini Ct, Suite E, Greenville, SC 29615-5340 | 2010-01-05 |
| 1235367822 | Elizabeth Jo Mason | Psychiatry & Neurology | 200 Patewood Dr Ste A100, Greenville, SC 29615 | 2009-06-23 |
| 1972730166 | Raza H. Sayed Md, Pa | Psychiatry & Neurology | 301east Division St, Greenville, TX 75401-4101 | 2009-06-16 |
| 1972738458 | Lance Feldman | Psychiatry & Neurology | 10 Patewood Dr, Suite 130, Greenville, SC 29615-6317 | 2009-05-27 |
| 1497989842 | The Family Wellness Center Pllc | Psychiatry & Neurology | 1025b Director Ct, Greenville, NC 27858-5996 | 2009-05-13 |
| 1699975102 | Nadyah Janine John | Psychiatry & Neurology | 905 Johns Hopkins Dr., Ecu Physicians Psychiatric Medicine, Greenville, NC 27834-7225 | 2007-07-23 |
| 1295930964 | Poinsett Psychiatric Group | Psychiatry & Neurology | 3c Cleveland Ct, Greenville, SC 29607-2414 | 2007-06-20 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 29605 |
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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.