ELLEN MARIE GLAZE MS
NPI 1184768103
Counselor - Addiction (Substance Use Disorder) in San Pablo, CA

Active since February 16, 2007
1515 MARKET AVE, SAN PABLO, CA 94806(510) 232-7571(510) 235-2545 Get Directions Write a Review

NPPES record last updated: November 3, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ellen Marie Glaze Ms NPPES

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

ELLEN MARIE GLAZE MS (NPI 1184768103) is an individual addiction (substance use disorder) provider in San Pablo, California and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1184768103
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameELLEN MARIE GLAZECredential: MS
Location Address1515 MARKET AVESan Pablo, CA 94806-4357
Mailing Address1515 Market AveSan Pablo, CA 94806-4357 · (510) 232-7571 · Fax (510) 235-2545
Fax(510) 235-2545
Sole ProprietorYes
Enumeration DateFebruary 16, 2007
Last NPPES UpdateNovember 3, 2010
NPI 1184768103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
1515 MARKET AVE, San Pablo, CA 94806

Other Names 1

Professional Name (2)Ellen Marie Mayfield Glaze Ba

Other Providers at the Same Location NPPES 14

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

Counselor (Addiction (Substance Use Disorder))
1515 MARKET AVE
SAN PABLO, CA 94806
Counselor (Addiction (Substance Use Disorder))
1515 MARKET AVE
SAN PABLO, CA 94806
Counselor (Addiction (Substance Use Disorder))
1515 MARKET AVE
SAN PABLO, CA 94806
Counselor (Addiction (Substance Use Disorder))
1515 MARKET AVE
SAN PABLO, CA 94806
Substance Abuse Rehabilitation Facility
1515 MARKET AVE
SAN PABLO, CA 94806
Counselor (Addiction (Substance Use Disorder))
1515 MARKET AVE
SAN PABLO, CA 94806
Counselor (Addiction (Substance Use Disorder))
1515 MARKET AVE
SAN PABLO, CA 94806
Counselor (Addiction (Substance Use Disorder))
1515 MARKET AVE
SAN PABLO, CA 94806

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 Ellen Glaze's NPI number?

The NPI number for Ellen Glaze is 1184768103. It was assigned to this individual provider in the NPPES registry on February 16, 2007. The provider is also known as Ellen Marie Mayfield Glaze Ba.

Where is Ellen Glaze located?

Ellen Glaze practices at 1515 Market Ave, San Pablo, CA 94806. The listed phone number is (510) 232-7571.

What is Ellen Glaze's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Ellen Glaze was last updated on November 3, 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.