GLEN P AYLWARD PH.D
NPI 1649252495
Psychologist - Clinical Child & Adolescent in Springfield, IL

NPI Status: Active since November 17, 2005

Contact Information

301 N 8TH ST
SPRINGFIELD, IL
ZIP 62701
Phone: (217) 545-2618
Fax: (217) 545-5834

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  • Individual
  • Male
  • Psychologist
  • Clinical Child & Adolescent
  • PECOS Enrolled

About GLEN AYLWARD

This page provides the complete NPI Profile along with additional information for Glen Aylward, a provider established in Springfield, Illinois with a medical specialization in Psychologist, focusing in clinical child & adolescent . The healthcare provider is registered in the NPI registry with number 1649252495 assigned on November 2005. The practitioner's primary taxonomy code is 103TC2200X with license number 071-002533 (IL). The provider is registered as an individual and his NPI record was last updated 7 years ago.

NPI
1649252495
Provider Name
GLEN P AYLWARD PH.D
Gender
Male
Entity Type
Individual
Location Address
301 N 8TH ST SPRINGFIELD, IL 62701
Location Phone
(217) 545-2618
Location Fax
(217) 545-5834
Mailing Address
PO BOX 19658 SPRINGFIELD, IL 62794
Mailing Phone
(217) 545-2618
Mailing Fax
(217) 545-5834
Is Sole Proprietor?
No
Enumeration Date
11-17-2005
Last Update Date
09-26-2018
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychologist Clinical Child & Adolescent

Taxonomy Code
103TC2200X
Type
Behavioral Health & Social Service Providers
License No.
071-002533
License State
IL
Taxonomy Description
A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1103TC0700XBehavioral Health & Social Service Providers

Psychologist
Clinical

071-002533 (IL)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
$$$$$$$$$002MEDICAID (05)IL 

Medicare Participation & PECOS Enrollment Status

Glen Aylward is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: No

Reviews for GLEN P AYLWARD PH.D

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1649252495
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2689454418
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 8 + 9 + 4 + 5 + 4 + 4 + 1 + 8 + 24 = 75
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 75 = 55

The NPI number 1649252495 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1871588640 HORST R KONRAD M.D.
Individual
Otolaryngology301 N 8TH ST
SPRINGFIELD, IL 62701
(217) 545-6099
1609861426 PHILLIP W MYERS M.D.
Individual
Otolaryngology301 N 8TH ST
SPRINGFIELD, IL 62701
(217) 545-6099
1477549905 KEVIN T ROBBINS M.D.
Individual
Otolaryngology301 N 8TH ST
SPRINGFIELD, IL 62701
(217) 545-6099
1184610255 RUTH D MAYFORTH M.D.
Individual
Surgery (Pediatric Surgery)301 N 8TH ST PAV4A
SPRINGFIELD, IL 62701
(217) 545-0702
1154317113 JOHN R FISK M.D.
Individual
Orthopaedic Surgery301 N 8TH ST
SPRINGFIELD, IL 62701
(217) 545-7500
1821084856 BRADLEY F SCHWARTZ M.D.
Individual
Urology301 N 8TH ST
SPRINGFIELD, IL 62701
(217) 545-7500
1760479539 JENNIFER C EDMONDS CCC-A
Individual
Audiologist-Hearing Aid Fitter301 N 8TH ST STE PAV 5B
SPRINGFIELD, IL 62701
(217) 545-6099
1205817046 VALERIE A RAY CCC-A
Individual
Audiologist301 N 8TH ST PAV 5B
SPRINGFIELD, IL 62701
(217) 545-6099
1558343327 JANE C JOOST M.D.
Individual
Pediatrics (Developmental - Behavioral Pediatrics)301 N 8TH ST
SPRINGFIELD, IL 62701
(217) 545-0702
1558343103 KATHLEEN A LAKE M.D.
Individual
Pediatrics301 N 8TH ST
SPRINGFIELD, IL 62701
(217) 545-4238
1477535946 MARK S PUCZYNSKI M.D.
Individual
Pediatrics301 N 8TH ST
SPRINGFIELD, IL 62701
(217) 545-7732
1881677052 GREGORY L BENNETT M.D.
Individual
Pediatrics301 N 8TH ST
SPRINGFIELD, IL 62701
(217) 545-4238
1609850478 RANDY A KIENSTRA M.D.
Individual
Pediatrics (Pediatric Nephrology)301 N 8TH ST
SPRINGFIELD, IL 62701
(217) 545-0654
1851362230PAVILION PHARMACY LLC
Organization
Pharmacy (Community/Retail Pharmacy)301 N 8TH ST STE 1A106
SPRINGFIELD, IL 62701
(217) 789-4355
1841230471 KRISHNA ANJALI SINGH M.D.
Individual
Orthopaedic Surgery (Pediatric Orthopaedic Surgery)301 N 8TH ST PAV4B
SPRINGFIELD, IL 62701
(217) 545-7500
1275575821DR. WILLIAM R ZIMMER M.D.
Individual
Internal Medicine (Hematology & Oncology)301 N 8TH ST STE 1B201
SPRINGFIELD, IL 62701
(217) 535-3799
1639289846MR. QUIN C. HOSTETLER R.PH.
Individual
Pharmacist301 N 8TH ST STE 1A106
SPRINGFIELD, IL 62701
(217) 789-4355
1265530455 DOUGLAS R. LEIGH M.D.
Individual
Internal Medicine (Infectious Disease)301 N 8TH ST 1ST FLOOR
SPRINGFIELD, IL 62701
(217) 527-4720
1003917717 REBECCA L SAUNDERS CPNP
Individual
Nurse Practitioner301 N 8TH ST PAV 4B
SPRINGFIELD, IL 62701
(217) 545-7500
1366543191 RICHARD E. BLUNK O.D.
Individual
Optometrist301 N 8TH ST 2ND FLOOR
SPRINGFIELD, IL 62701
(217) 535-2020

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1649252495, enumerated in the NPI registry as an "individual" on November 17, 2005

The provider is located at 301 N 8th St Springfield, Il 62701 and the phone number is (217) 545-2618

The provider's speciality is Psychologist with taxonomy code 103TC2200X with a focus in Clinical Child & Adolescent

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

This NPI record was last updated on November 17, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.