Glee Med Spa

Primary specialty

Integrative Medicine PhysicianTaxonomy code 202D00000X

Legal business name

GLEE MED SPA

Practice address

2219 York Rd Ste 103
Timonium, MD 21093-3140

Phone

(410) 826-0800

NPI assigned

Sep 26, 2023

Last updated

Sep 26, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shoshana Nourmand

Title

Manager

Phone

(410) 419-9984

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1695686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695686400000",
    "number": "1104605377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6510 GARDENWICK RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212092538",
            "telephone_number": "410-419-9984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2219 YORK RD STE 103",
            "city": "TIMONIUM",
            "state": "MD",
            "postal_code": "210933140",
            "telephone_number": "410-826-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLEE MED SPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-26",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A",
        "authorized_official_last_name": "NOURMAND",
        "authorized_official_first_name": "SHOSHANA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "410-419-9984"
    },
    "taxonomies": [
        {
            "code": "202D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Integrative Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Marie Gischel
• Julia Giuva, LCPC
• Glass Health Programs, Inc. (MedMark Treatment Centers - Timonium)
• Glass Mental Health Foundation Inc
• Anthony Glasser, O.D.
• Global Complex Eye Care LLC
• Michele Goldman-Ranger
• Kelsey Hannah Goldstrom, PA-C
• Good Vibes Care LLC
• Katelyn Anne Goodhart

• Integrative Medicine Physician in Timonium, MD
• Providers in Timonium, MD by specialty
• Integrative Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.