DR. PAUL KENNETH GLASS PH.D.
NPI 1255346078
Psychologist in Waukesha, WI

Active since July 30, 2006
2717 N GRANDVIEW BLVD, STE. 303, WAUKESHA, WI 53188(262) 544-6486(262) 544-6377 Get Directions Write a Review

NPPES record last updated: February 12, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Paul Kenneth Glass Ph.d. NPPES

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

DR. PAUL KENNETH GLASS PH.D. (NPI 1255346078) is an individual psychologist in Waukesha, Wisconsin, licensed in Wisconsin (797-057) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1255346078
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. PAUL KENNETH GLASSCredential: PH.D.
Location Address2717 N GRANDVIEW BLVD, STE. 303Waukesha, WI 53188-1672
Mailing Address2717 N Grandview Blvd Ste 303Waukesha, WI 53188-1660 · (262) 544-6486
Fax(262) 544-6377
Sole ProprietorNo
Enumeration DateJuly 30, 2006
Last NPPES UpdateFebruary 12, 2009
NPI 1255346078 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in WI · 797-057
Definition

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.

2717 N GRANDVIEW BLVD, Waukesha, WI 53188

Other Identifiers 2

Medicare ID-Type Unspecified84154-0004WI · Psychology
Medicaid39018500WI

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.

Psychologist
2717 N GRANDVIEW BLVD, #303
WAUKESHA, WI 53188
Social Worker
2717 N GRANDVIEW BLVD, #303
WAUKESHA, WI 53188
Psychologist
2717 N GRANDVIEW BLVD, #303 STRESS MANAGEMENT CLINIC
WAUKESHA, WI 53188
Counselor (Professional)
2717 N GRANDVIEW BLVD, SUITE 111
WAUKESHA, WI 53188
Counselor (Professional)
2717 N GRANDVIEW BLVD, #111
WAUKESHA, WI 53188
Psychologist
2717 N GRANDVIEW BLVD, #303
WAUKESHA, WI 53188
Nurse Practitioner
2717 N GRANDVIEW BLVD, #202
WAUKESHA, WI 53188
Psychiatry & Neurology (Psychiatry)
2717 N GRANDVIEW BLVD, #202
WAUKESHA, WI 53188

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1255346078, enumerated as an "individual" on July 30, 2006.

The provider is located at 2717 N GRANDVIEW BLVD STE. 303 WAUKESHA, WI 53188 and the phone number is (262) 544-6486.

Psychologist with taxonomy code 103T00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.