Active NPI
Ruth Bonnie Glaser, PH.D.
- Professional Counselor
- Berkeley, CA
National Provider Identifier
1073887824
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PSY 5242
- Practice address
- 3036 Regent St
Berkeley, CA 94705-2551 - Phone
- (510) 333-2367
- NPI assigned
- Feb 25, 2012
- Last updated
- Feb 25, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | PSY 5242 | CA | Primary |
| Psychoanalyst | 102L00000X | PSY 5242 | CA |
Addresses
Primary practice location
3036 Regent St
Berkeley, CA 94705-2551
Mailing address
3036 Regent St
Berkeley, CA 94705-2551
Phone (510) 333-2367
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY 5242 | CA | MD | Psychoanalyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1330128000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330128000000",
"number": "1073887824",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3036 REGENT ST",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947052551",
"telephone_number": "510-333-2367"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3036 REGENT ST",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947052551",
"telephone_number": "510-333-2367"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLASER",
"first_name": "RUTH",
"middle_name": "BONNIE",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-02-25",
"last_updated": "2012-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CA",
"license": "PSY 5242",
"primary": true
},
{
"code": "102L00000X",
"taxonomy_group": "",
"desc": "Psychoanalyst",
"state": "CA",
"license": "PSY 5242",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Berkeley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.