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GLENN GRANUM
NPI 1841957594
Peer Specialist in Monticello, NY

Active since November 17, 2021
396 BROADWAY, MONTICELLO, NY 12701(845) 784-8080 Get Directions Write a Review

NPPES record last updated: November 17, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Glenn Granum NPPES

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

GLENN GRANUM (NPI 1841957594) is an individual peer specialist in Monticello, New York and active in the NPI registry since November 2021.

NPPES Registry Identity

NPI1841957594
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameGLENN GRANUM
Location Address396 BROADWAYMonticello, NY 12701-1157
Mailing AddressPo Box 573Ferndale, NY 12734-0573 · (845) 807-9133
Phone(845) 784-8080
Sole ProprietorYes
Enumeration DateNovember 17, 2021
NPPES CertifiedNovember 16, 2021
✔ NPI 1841957594 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
396 BROADWAY, Monticello, NY 12701
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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.

CATHOLIC CHARITIES OF ORANGE, SULLIVAN & ULSTER
Substance Abuse Rehabilitation Facility
396 BROADWAY
MONTICELLO, NY 12701
Sullivan County (845) 794-8080
TINA MARIE TOMPKINS
Peer Specialist
396 BROADWAY
MONTICELLO, NY 12701
Sullivan County (845) 457-3527
MR. ANTHONY DAVIS
Counselor (Addiction (Substance Use Disorder))
396 BROADWAY
MONTICELLO, NY 12701
Sullivan County (845) 794-8080
WINTRESS HALL
Case Manager/Care Coordinator
396 BROADWAY
MONTICELLO, NY 12701
Sullivan County (845) 794-8080
JOSHUA RIVERA
Peer Specialist
396 BROADWAY
MONTICELLO, NY 12701
Sullivan County (845) 754-6000
SAMANTHA ORTIZ CASAC-T
Counselor (Addiction (Substance Use Disorder))
396 BROADWAY
MONTICELLO, NY 12701
Sullivan County (845) 794-8080
KASANDRA QUEDNAU
Counselor (Addiction (Substance Use Disorder))
396 BROADWAY
MONTICELLO, NY 12701
Sullivan County (845) 544-9087
MS. VICKI L LANDMAN
Counselor (Addiction (Substance Use Disorder))
396 BROADWAY
MONTICELLO, NY 12701
Sullivan County (845) 794-8080

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 Glenn Granum's NPI number?

The NPI number for Glenn Granum is 1841957594. It was assigned to this individual provider in the NPPES registry on November 17, 2021.

Where is Glenn Granum located?

Glenn Granum practices at 396 Broadway, Monticello, NY 12701. The listed phone number is (845) 784-8080.

What is Glenn Granum's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Glenn Granum was last updated on November 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.