| Scott H Glass, | |
|
250 Cherry St Se Ste 2200, Grand Rapids, MI 49503-4608 | |
| (616) 685-5600 | |
| (616) 685-6745 |
| Full Name | Scott H Glass |
|---|---|
| Gender | Male |
| Speciality | Clinical Psychologist |
| Experience | 6 Years |
| Location | 250 Cherry St Se Ste 2200, Grand Rapids, Michigan |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558708891 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 6301008665 (Michigan) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Centennial Park Counseling Pllc | 7517340557 | 5 |
| Entity Name | Centennial Park Counseling Plc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689814469 PECOS PAC ID: 6002966207 Enrollment ID: O20090610000066 |
| Entity Name | Centennial Park Counseling Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689814469 PECOS PAC ID: 7517340557 Enrollment ID: O20220824000337 |
| Mailing Address | Practice Location Address |
|---|---|
| Scott H Glass, 1436 Houseman Ave Ne, Grand Rapids, MI 49505-5236 Ph: () - | Scott H Glass, 250 Cherry St Se Ste 2200, Grand Rapids, MI 49503-4608 Ph: (616) 685-5600 |
Dynetta Clark, MA, LLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 805 Leonard St Ne, Grand Rapids, MI 49503 Phone: 616-451-2021 Fax: 616-774-1001 | |
Mrs. Amy E Pugh, PSYD Psychologist Medicare: Medicare Enrolled Practice Location: 35 Michigan St Ne Ste 5201, Grand Rapids, MI 49503 Phone: 616-267-2830 Fax: 616-267-9024 | |
Meghan Cytacki-lewis, MA, TLLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 333 Bridge St Nw Ste 1120, Grand Rapids, MI 49504 Phone: 616-805-3660 | |
Jehricole Olenzuk, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 829 Forest Hill Ave Se, Grand Rapids, MI 49546 Phone: 616-949-2410 | |
Adrian Hernandez, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 360 E Beltline Ave Ne Ste 100, Grand Rapids, MI 49506 Phone: 616-805-3660 | |
Marcia Hollingsworth, EDD Psychologist Medicare: Medicare Enrolled Practice Location: 1870 Leonard Ne, Grand Rapids, MI 49505 Phone: 616-956-1122 Fax: 616-956-8033 | |
Dr. Kathryn Mclean, PSY.D. Psychologist Medicare: Medicare Enrolled Practice Location: 235 Wealthy St Se, Grand Rapids, MI 49503 Phone: 616-840-8005 |