Allison Meryl Glasscock, PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

019758 Issued in NY

Practice address

625 E 11TH St Apt A3
New York, NY 10009-9751

Phone

(917) 420-0267

NPI assigned

Jan 22, 2014

Last updated

Jul 31, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1390348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722384000000",
    "number": "1033532445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 E 11TH ST APT A3",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100099751",
            "telephone_number": "917-420-0267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 E 11TH ST APT A3",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100099751",
            "telephone_number": "917-420-0267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLASSCOCK",
        "first_name": "ALLISON",
        "middle_name": "MERYL",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-22",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "019758",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "019758",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03808871",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sophia Glass
• Stacy Lynne Glass, MSPT
• Jeffrey Avins Glassberg, M.D.
• Kenneth I Glassberg, MD
• Stephen Glassberg, M.D.
• Adrienne Glasser, LCSW
• Bettyann Glasser, LCSW
• Catherine Glasser, NP
• Jeffrey Glasser, MD
• Kallyn Glasser

• Psychologist in New York, NY
• Providers in New York, NY by specialty
• Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.