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MICHAEL GLENDON
NPI 1861663619
Counselor - Addiction (Substance Use Disorder) in Bridgeport, CT

Active since March 20, 2008PECOS Enrolled
1046 FAIRFIELD AVENUE, BRIDGEPORT, CT 06605(203) 330-6054(203) 331-4716 Get Directions Write a Review

NPPES record last updated: March 20, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Michael Glendon NPPES

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

MICHAEL GLENDON (NPI 1861663619) is an individual addiction (substance use disorder) provider in Bridgeport, Connecticut and active in the NPI registry since March 2008. He is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1861663619
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMICHAEL GLENDON
Location Address1046 FAIRFIELD AVENUEBridgeport, CT 06605-1116
Mailing Address1046 Fairfield AvenueBridgeport, CT 06605-1116 · (203) 330-6054 · Fax (203) 331-4716
Phone(203) 330-6054
Fax(203) 331-4716
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateMarch 20, 2008
✔ NPI 1861663619 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
1046 FAIRFIELD AVENUE, Bridgeport, CT 06605
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael Glendon is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8426554189
PECOS Enrollment IDI20251001002403
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES

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

RICHARD IRVIN CLOSS SR. LADC
Counselor (Addiction (Substance Use Disorder))
1046 FAIRFIELD AVENUE
BRIDGEPORT, CT 06605
Greater Bridgeport Planning Region (203) 330-6054

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 Michael Glendon's NPI number?

The NPI number for Michael Glendon is 1861663619. It was assigned to this individual provider in the NPPES registry on March 20, 2008.

Where is Michael Glendon located?

Michael Glendon practices at 1046 Fairfield Avenue, Bridgeport, CT 06605. The listed phone number is (203) 330-6054.

What is Michael Glendon's specialty?

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

Is Michael Glendon enrolled in Medicare?

Yes. Michael Glendon is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Michael Glendon was last updated on March 20, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.