Individual provider

Glen Elliott, PH.D., M.D.

Child & Adolescent Psychiatry Physician Psychiatry Physician

Glen Elliott, PH.D., M.D. is a Child & Adolescent Psychiatry Physician in Palo Alto, CA, registered under NPI 1104939503. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.

Getting there

The practice address on file is 650 CLARK WAY, Palo Alto, CA 94304. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

650 CLARK WAY, Palo Alto, CA 94304 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
G44741 CA Child & Adolescent Psychiatry Physician primary
G44741 CA Psychiatry Physician

This provider holds licence G44741 issued in CA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)

This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.

What Child & Adolescent Psychiatry covers

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. NUCC Health Care Provider Taxonomy, code 2084P0804X
Allopathic & Osteopathic Physicians Psychiatry & Neurology Child & Adolescent Psychiatry

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
2084P0804X Child & Adolescent Psychiatry Physician Child & Adolescent Psychiatry G44741 CA primary
2084P0800X Psychiatry Physician Psychiatry G44741 CA

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1104939503 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateAug 17, 2006
Last updatedNov 10, 2010
StatusActive
Sole proprietorNo
CredentialPH.D., M.D.
Practice address 650 CLARK WAY
Palo Alto, CA 94304
(650) 688-3649
Fax (650) 688-3669
Other identifiers 00G447410 (CA)
This record was last updated on Nov 10, 2010, roughly 15 years ago. Address and phone details that old are frequently out of date. Verify by phone before travelling to the address shown.

Number check

1104939503 passes the NPI check digit test The final digit 3 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 1 0 4 9 3 9 5 0
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 1 0 4 9 3 9 5 0

Sum = 57 · next multiple of 10 = 60 · check digit = 3 · actual last digit = 3

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1104939503?
NPI 1104939503 is the National Provider Identifier assigned to Glen Elliott, PH.D., M.D. in Palo Alto, CA. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Child & Adolescent Psychiatry cover?
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
How do I contact Glen Elliott, PH.D., M.D.?
The phone number on file with NPPES is (650) 688-3649, last updated Nov 10, 2010. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Is NPI 1104939503 a valid number?
Yes. 1104939503 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.