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GLOM OUTPATIENT SERVICES INC.
NPI 1417537366
Clinic/Center - Adult Mental Health in Stockton, CA

Active since April 13, 2021
130 W FLORA ST, STOCKTON, CA 95202(844) 456-6677(925) 336-3148 Get Directions Write a Review

NPPES record last updated: July 6, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 6, 2026, Jun 1, 2026, Oct 6, 2025 and 3 more (6 updates tracked since 2021).

About Glom Outpatient Services Inc. NPPES

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

GLOM OUTPATIENT SERVICES INC. (NPI 1417537366) is a healthcare organization registered as an adult mental health in Stockton, California and active in the NPI registry since April 2021. The organization maintains 2 additional practice locations and lists Allen Turner, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1417537366
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NameGLOM OUTPATIENT SERVICES INC.
Location Address130 W FLORA STStockton, CA 95202-1636
Mailing Address3123 Independence DrLivermore, CA 94551-7595 · (925) 999-4119 · Fax (925) 800-3102
Phone(844) 456-6677
Fax(925) 336-3148
Organization SubpartNo
Authorized OfficialAllen TurnerExecutive Director · (925) 570-3282
Enumeration DateApril 13, 2021
Last NPPES UpdateJuly 6, 20266 updates tracked since enumeration
NPPES CertifiedJuly 6, 2026
✔ NPI 1417537366 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
Also ListedDay Training, Developmentally Disabled ServicesTaxonomy 251C00000X
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
Also ListedClinic/Center · Adult Day CareTaxonomy 261QA0600X
Also ListedClinic/Center · Rehabilitation, Substance Use DisorderTaxonomy 261QR0405X
130 W FLORA ST, Stockton, CA 95202
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Secondary Practice Locations 2

Location 11020 W Main StMerced, CA 95340-4521 · Phone (844) 456-6677 · Fax (925) 336-3148
Location 21111 W Tokay St Ste ALodi, CA 95240-3965 · Phone (844) 456-6677 · Fax (925) 336-3148

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Glom Outpatient Services Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Glom Outpatient Services Inc., which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (4)

Laronna Watson, MSW
Clinical Social Worker
NPI 1972980340
3220 SACRAMENTO ST
Berkeley, CA 94702
(510) 719-1336
✔ PECOS54 mi
Amandeep Kaur
Mental Health Counselor
NPI 1073041927
1020 W MAIN ST
Merced, CA 95340
(818) 398-6488
✔ PECOS63 mi
Jonathan Harry, M.D.
Psychiatry
NPI 1992852305
808 W 16TH ST
Merced, CA 95340
(209) 381-6800
✔ PECOS63 mi
Leslie Langley, DNP-BC
Nurse Practitioner
NPI 1255779120
4789 VINELAND AVE STE 101
North Hollywood, CA 91602
(323) 568-1654
✔ PECOS✔ Accepts Medicare309 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Glom Outpatient Services Inc.'s NPI number?

The NPI number for Glom Outpatient Services Inc. is 1417537366. It was assigned to this organization in the NPPES registry on April 13, 2021.

Where is Glom Outpatient Services Inc. located?

Glom Outpatient Services Inc. is located at 130 W Flora St, Stockton, CA 95202. The listed phone number is (844) 456-6677.

What is Glom Outpatient Services Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

Is Glom Outpatient Services Inc. enrolled in Medicare?

Yes. Glom Outpatient Services Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Glom Outpatient Services Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Glom Outpatient Services Inc., in Clinical Social Worker, Mental Health Counselor, Nurse Practitioner and Psychiatry. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Glom Outpatient Services Inc. was last updated on July 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.