GLEN C BANNISTER Ed.D., NPI 1275680027
Psychologist in MONTGOMERY, AL
Last Updated on : Jul 09,2007
About GLEN C BANNISTER (NPI 1275680027)
GLEN C BANNISTER is a Psychologist provider in MONTGOMERY, United States. His medical specialization is Psychologist .
1275680027 is NPI number of GLEN C BANNISTER.
GLEN C BANNISTER's primary taxonomy code based on NPI Lookup is 103T00000X with license number 125. This taxonomy code refers to Psychologist.
GLEN C BANNISTER has more than 15 years of experience.
GLEN C BANNISTER current practice location address is 4216 LOMAC ST, MONTGOMERY, AL. GLEN C BANNISTER can be reached out via phone at 334-277-5956 .
You can also correspond with GLEN C BANNISTER through mail at mailing address 4216 LOMAC ST, MONTGOMERY, AL, United States. Mailing address contact number is 334-277-5956.
The enumeration date of GLEN C BANNISTER is 04-Jan-2007. The provider is registered as an Individual and the NPI record was last updated 16 years ago.1275680027 NPI Information
Basic NPI information of GLEN C BANNISTER (NPI 1275680027) is provided below.
| Name | GLEN C BANNISTER |
|---|---|
| National Provider Id (NPI) | 1275680027 |
| Entity Type | Individual |
| Gender | M |
| Credential | Ed.D. |
| Practice Address | 4216 LOMAC ST,
MONTGOMERY, AL, United States |
| Practice Telephone | 334-277-5956 |
| Practice Fax Number | |
| Mailing Address | 4216 LOMAC ST ,
MONTGOMERY, AL, United States |
| Mailing Telephone | 334-277-5956 |
| Mailing Fax Number | |
| Enumeration Date | 04-Jan-2007 |
| Last Updated Date | 09-Jul-2007 |
GLEN C BANNISTER (NPI 1275680027) Primary Taxonomy Information
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs, the license data is associated to the taxonomy code.
| Primary | Taxonomy Code | Clasification | License Number | License State |
|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 125 | AL |
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.
Additional Identifiers
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type/Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 510-70696 | MEDICARE UPIN (02) | AL | |
| 000070696 | MEDICARE ID-Type Unspecified (04) | AL | |
| 630732962TGfURW | MEDICARE UPIN (02) | AL |
GLEN C BANNISTER (NPI 1275680027) Office Location
Office location of GLEN C BANNISTER is provided in the Google maps below.Providers in same location
Here are a few of the other providers in the same location.
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|---|---|---|---|---|
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| 1376521112 | EMMETT WARD SMITH | Dentist | 3150 ZELDA CT,
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| 1851458830 | SOUTHEAST HOSPICE NETWORK, LLC | Hospice Care, Community Based | 3001 ZELDA RD STE 300,
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02-Jan-2007 |
| 1326105321 | SAMUEL DOUGLAS COLLIER | Marriage & Family Therapist | 4216 LOMAC ST,
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| 1346661766 | PAMELA PARKER | Pharmacist | PO BOX 1848,
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| 1760870547 | STAN BARNARD | Social Worker, Clinical | 8831 STONERIDGE PL,
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| 1881139731 | NIKKI ROBERTS | Massage Therapist | 7111 HALCYON PARK DR STE B,
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| 1114499118 | ANNIE SAGE LLC | Non-emergency Medical Transport (VAN) | 2740 ZELDA RD STE 5B,
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02-Jan-2019 |
| 1144793191 | KYLE H ADAMS | Nurse Anesthetist, Certified Registered | PO BOX 235019,
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| 1578800033 | LEONARD WAYNE YARBROUGH | Dentist, Periodontics | 1220 CARMICHAEL WAY,
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03-Jan-2013 |
| 1265410781 | GLENDA ATILANO | Internal Medicine | 4371 NARROW LANE RD,
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| 1346228871 | VANESSA BROWN | Nurse Practitioner | 1000 ADAMS AVE,
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| 1326195124 | PORCIA BRADFORD LOVE | Dermatology | 4712 BERRY BLVD,
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04-Jan-2007 |
| 1275680027 | GLEN C BANNISTER | Psychologist | 4216 LOMAC ST,
MONTGOMERY, AL, United States |
04-Jan-2007 |
| 1548317225 | LAURIE B WHITE | Physical Therapist | 825 W WASHINGTON ST,
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04-Jan-2007 |
| 1619024213 | MARY JAMIE MOUNT | Dentist, General Practice | 3439 MCGEHEE RD STE B,
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04-Jan-2007 |
| 1528338811 | JILL MENNEMEIER | Registered Nurse | 602 S LAWRENCE ST,
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04-Jan-2012 |
| 1497025787 | LISA BACHANT | Registered Nurse | 602 S LAWRENCE ST,
MONTGOMERY, AL, United States |
04-Jan-2012 |
| 1457698896 | COURTNEY WORLEY CARLISLE | Psychologist, Clinical | 215 PERRY HILL RD,
MONTGOMERY, AL, United States |
04-Jan-2013 |
How to check whether NPI 1063496693 is valid?
The following video explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
FAQs
Whose NPI Number is 1275680027?1275680027 is the NPI number of GLEN C BANNISTER.
What is the specialty for GLEN C BANNISTER?The Specialty of GLEN C BANNISTER is Psychologist.
NPI number meaning
| Field Name | Field Value |
|---|---|
| NPI | 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. |
| Entity Type | Code describing the type of health care provider that is being assigned an NPI.
Codes are:
|
| Provider Business Mailing Address | The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code. |
| Provider Business Mailing Address Telephone Number | The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number". |
| Provider Business Mailing Address Fax Number | The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''. |
| Provider Business Practice Location Address Telephone Number | The telephone number associated with the location address of the provider being identified. |
| Provider Business Practice Location Address Fax Number | The fax number associated with the location address of the provider being identified. |
| Provider Enumeration Date | The date the provider was assigned a unique identifier (assigned an NPI). |
| Last Update Date | The date that a record was last updated or changed. |
| Authorized Official Telephone Number | The 10-position telephone number of the authorized official. |
| Healthcare Provider Taxonomy Code | The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization. |
| Healthcare Provider Taxonomy | Taxonomy Description of the Healthcare Provider. |
| Provider License Number | Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section. |
| Provider License Number State Code | Provider License Number State Code #1 |
| Healthcare Provider Primary Taxonomy Switch | Primary Taxonomy:
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