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DR. GLEN R. ELLIOTT PH.D., M.D.
NPI 1104939503
Psychiatry & Neurology - Child & Adolescent Psychiatry in Palo Alto, CA

Active since August 17, 2006
650 CLARK WAY, PALO ALTO, CA 94304(650) 688-3649(650) 688-3669 Get Directions Write a Review

NPPES record last updated: November 10, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Glen R. Elliott Ph.d., M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. GLEN R. ELLIOTT PH.D., M.D. (NPI 1104939503) is an individual child & adolescent psychiatry provider in Palo Alto, California, licensed in California (G44741) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1104939503
Entity TypeIndividualMale
Primary Taxonomy2084P0804X
Provider Legal NameDR. GLEN R. ELLIOTTCredential: PH.D., M.D.
Location Address650 CLARK WAYPalo Alto, CA 94304-2300
Mailing Address650 Clark WayPalo Alto, CA 94304-2300 · (650) 688-3649 · Fax (650) 688-3669
Phone(650) 688-3649
Fax(650) 688-3669
Sole ProprietorNo
Enumeration DateAugust 17, 2006
Last NPPES UpdateNovember 10, 2010
✔ NPI 1104939503 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in CA · G44741
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License G44741 (CA)
650 CLARK WAY, Palo Alto, CA 94304
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Other Identifiers 3

Medicaid00G447410CA
Medicare UPINF20283CA
Medicare PIN00G447410CA

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ZAHRA MURTAZA PHD
Psychologist (Clinical Child & Adolescent)
650 CLARK WAY
PALO ALTO, CA 94304
Santa Clara County (650) 617-3829
KELLY DAWNE MCBRIDE LCSW
Social Worker (School)
650 CLARK WAY
PALO ALTO, CA 94304
Santa Clara County (650) 617-3834
KARLY CROCKETT
Social Worker (Clinical)
650 CLARK WAY
PALO ALTO, CA 94304
Santa Clara County (650) 326-5530
DANNA TORRES
Marriage & Family Therapist
650 CLARK WAY
PALO ALTO, CA 94304
Santa Clara County (650) 326-5530
MS. ROXANNA JEZREEL FLORES VELASCO MA
Psychologist
650 CLARK WAY
PALO ALTO, CA 94304
Santa Clara County (650) 326-5530
JAMIE QWAN
Marriage & Family Therapist
650 CLARK WAY
PALO ALTO, CA 94304
Santa Clara County (650) 326-5530
EILENE OZAWA
Occupational Therapist (Pediatrics)
650 CLARK WAY
PALO ALTO, CA 94304
Santa Clara County (650) 688-3690
DR. OLIVIA KATHLEEN MAZUR MCDONALD PSY.D.
Psychologist (Clinical)
650 CLARK WAY
PALO ALTO, CA 94304
Santa Clara County (650) 326-5530

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Glen Elliott's NPI number?

The NPI number for Glen Elliott is 1104939503. It was assigned to this individual provider in the NPPES registry on August 17, 2006.

Where is Glen Elliott located?

Glen Elliott practices at 650 Clark Way, Palo Alto, CA 94304. The listed phone number is (650) 688-3649.

What is Glen Elliott's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

When was this NPI record last updated?

The NPPES record for Glen Elliott was last updated on November 10, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.