MR. GLEN OWEN SALLOWS PHD, BCBA-D
NPI 1104993153
Psychologist in Madison, WI
About Mr. Glen Owen Sallows Phd, Bcba-d NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. GLEN OWEN SALLOWS PHD, BCBA-D (NPI 1104993153) is an individual psychologist in Madison, Wisconsin, licensed in Wisconsin (823057) and active in the NPI registry since November 2006. He has opted out of Medicare through January 13, 2028 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Mr. Glen Owen Sallows Phd, Bcba-d has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 13, 2016 through January 13, 2028.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MADISON, WI 53717
MADISON, WI 53717
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 Sallows's NPI number?
The NPI number for Glen Sallows is 1104993153. It was assigned to this individual provider in the NPPES registry on November 28, 2006.
Where is Glen Sallows located?
Glen Sallows practices at 1210 Fourier Drive Suite #100, Madison, WI 53717. The listed phone number is (608) 662-9327.
What is Glen Sallows's specialty?
The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.
Is Glen Sallows enrolled in Medicare?
No. Glen Sallows has opted out of Medicare through January 13, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
When was this NPI record last updated?
The NPPES record for Glen Sallows was last updated on November 17, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.