Bette Glickfield PHD PLLC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

6301005241 Issued in MI

Legal business name

BETTE GLICKFIELD PHD PLLC

Practice address

5600 West Maple Rd
Ste D407
West Bloomfield, MI 48322-3711

Phone

(248) 851-2262

NPI assigned

Mar 26, 2007

Organization subpart

No

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

Authorized official

Name

Bette Glickfield, PHDNPI 1922079284

Title

Authorized Delegate/ Psychologist

Phone

(248) 535-8547

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bette Diane Glickfield, PH.D.

  • Psychologist
  • West Bloomfield, MI
  • NPI 1922079284
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730764800000",
    "number": "1043338239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3160 PARKLAND DRIVE",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483221823",
            "telephone_number": "248-851-2622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5600 WEST MAPLE RD",
            "address_2": "STE D407",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223711",
            "telephone_number": "248-851-2262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETTE GLICKFIELD PHD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A",
        "authorized_official_last_name": "GLICKFIELD",
        "authorized_official_first_name": "BETTE",
        "authorized_official_title_or_position": "AUTHORIZED DELEGATE/ PSYCHOLOGIST",
        "authorized_official_telephone_number": "248-535-8547",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301005241",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "OH81207",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "2080P0008X",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "680F331790",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Psychologist in West Bloomfield, MI
• Providers in West Bloomfield, MI by specialty
• Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.