Active NPI
Dennis Richard Glick, MD
- Psychiatry Physician
- Greenbelt, MD
National Provider Identifier
1114981651
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- D73381
- Practice address
- 7474 Greenway Center Dr
#730
Greenbelt, MD 20770-3504 - Phone
- (301) 982-3437
- Fax
- (301) 982-9452
- NPI assigned
- Apr 13, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | D73381 | MD | Primary |
Addresses
Primary practice location
7474 Greenway Center Dr
#730
Greenbelt, MD 20770-3504
Mailing address
2000 Derby Ridge LN
Silver Spring, MD 20910-2651
Phone (707) 396-3270
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D73381 | MD | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Families First Counseling and Psychiatry, LLC | Psychiatry | Past | Accepting new patients |
| Golden State Performance and Family Counseling Inc | Past | Accepting new patients |
Interoperability endpoints
- dennis.glick.1@18773.direct.athenahealth.com
Organizations & group practices 2
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Baltimore, MD
- NPI 1992216493
Psychiatry
-
- Marriage & Family Therapist
- Santa Rosa, CA
- NPI 1861203440
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1415059200000",
"number": "1114981651",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 DERBY RIDGE LN",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209102651",
"telephone_number": "707-396-3270"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7474 GREENWAY CENTER DR",
"address_2": "#730",
"city": "GREENBELT",
"state": "MD",
"postal_code": "207703504",
"telephone_number": "301-982-3437",
"fax_number": "301-982-9452"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLICK",
"first_name": "DENNIS",
"middle_name": "RICHARD",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-13",
"last_updated": "2014-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MD",
"license": "D73381",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenbelt, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.