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GLEN C BANNISTER Ed.D., NPI 1275680027

Psychologist in MONTGOMERY, AL

Last Updated on : Jul 09,2007

GLEN C BANNISTER Ed.D., NPI 1275680027

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.

NPI Name Taxonomy Address Enumeration date
1982052015 KEVIN J JONES Pharmacist 4385 NARROW LANE RD,
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31-May-2016
1043298995 ALLEN HOWARD STERN Podiatrist 1558 E TRINITY BLVD,
MONTGOMERY, AL, United States
01-Jan-2006
1376521112 EMMETT WARD SMITH Dentist 3150 ZELDA CT,
MONTGOMERY, AL, United States
03-Jan-2006
1851458830 SOUTHEAST HOSPICE NETWORK, LLC Hospice Care, Community Based 3001 ZELDA RD STE 300,
MONTGOMERY, AL, United States
02-Jan-2007
1326105321 SAMUEL DOUGLAS COLLIER Marriage & Family Therapist 4216 LOMAC ST,
MONTGOMERY, AL, United States
02-Jan-2007
1346661766 PAMELA PARKER Pharmacist PO BOX 1848,
AUBURN, AL, United States
02-Jan-2014
1760870547 STAN BARNARD Social Worker, Clinical 8831 STONERIDGE PL,
MONTGOMERY, AL, United States
02-Jan-2015
1881139731 NIKKI ROBERTS Massage Therapist 7111 HALCYON PARK DR STE B,
MONTGOMERY, AL, United States
02-Jan-2017
1114499118 ANNIE SAGE LLC Non-emergency Medical Transport (VAN) 2740 ZELDA RD STE 5B,
MONTGOMERY, AL, United States
02-Jan-2019
1144793191 KYLE H ADAMS Nurse Anesthetist, Certified Registered PO BOX 235019,
MONTGOMERY, AL, United States
02-Jan-2019
1578800033 LEONARD WAYNE YARBROUGH Dentist, Periodontics 1220 CARMICHAEL WAY,
MONTGOMERY, AL, United States
03-Jan-2013
1265410781 GLENDA ATILANO Internal Medicine 4371 NARROW LANE RD, SUITE 100
MONTGOMERY, AL, United States
04-Jan-2006
1346228871 VANESSA BROWN Nurse Practitioner 1000 ADAMS AVE,
MONTGOMERY, AL, United States
05-Jan-2006
1326195124 PORCIA BRADFORD LOVE Dermatology 4712 BERRY BLVD,
MONTGOMERY, AL, United States
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,
EUFAULA, AL, United States
04-Jan-2007
1619024213 MARY JAMIE MOUNT Dentist, General Practice 3439 MCGEHEE RD STE B, UNIT 22
MONTGOMERY, AL, United States
04-Jan-2007
1528338811 JILL MENNEMEIER Registered Nurse 602 S LAWRENCE ST,
MONTGOMERY, AL, United States
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:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
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:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
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