Active NPI
Gloria Gendelman
- Behavior Analyst
- Irwin, PA
National Provider Identifier
1013511328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 1015 Pennsylvania Ave
Irwin, PA 15642-3737 - Phone
- (866) 287-2036
- NPI assigned
- Nov 27, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
1015 Pennsylvania Ave
Irwin, PA 15642-3737
Mailing address
20415 Alderleaf Ter
Germantown, MD 20874-1167
Phone (301) 792-1077
Other practice location 1
20410 Observation Dr Ste 107
Germantown, MD 20876-6419
Phone (202) 420-8359
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | gloria.koretsky@littleleaves.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NS in-Network, LLC | Behavior Analyst | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Behavior Analyst
- Bethesda, MD
- NPI 1013427681
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716163200000",
"number": "1013511328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20415 ALDERLEAF TER",
"city": "GERMANTOWN",
"state": "MD",
"postal_code": "208741167",
"telephone_number": "301-792-1077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1015 PENNSYLVANIA AVE",
"city": "IRWIN",
"state": "PA",
"postal_code": "156423737",
"telephone_number": "866-287-2036"
}
],
"practiceLocations": [
{
"address_1": "20410 Observation Dr Ste 107",
"address_purpose": "LOCATION",
"city": "Germantown",
"state": "MD",
"postal_code": "208766419",
"country_code": "US",
"telephone_number": "202-420-8359",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GENDELMAN",
"first_name": "GLORIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-27",
"last_updated": "2024-05-20",
"certification_date": "2024-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "gloria.koretsky@littleleaves.org",
"affiliation": "N",
"endpointDescription": "HIPPA Compliant E-mail",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "20410 Observation Dr Ste 107",
"city": "Germantown",
"state": "MD",
"country_code": "US",
"postal_code": "208766419",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Irwin, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.