Active NPI
Herb Glazeroff, PH.D.
- Psychologist
- Claremont, CA
National Provider Identifier
1124359617
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY 16117
- Practice address
- 480 N Indian Hill Blvd
Suite 1a
Claremont, CA 91711-4615 - Phone
- (909) 621-2023
- NPI assigned
- Jan 22, 2010
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY 16117 | CA | Primary |
Addresses
Primary practice location
480 N Indian Hill Blvd
Suite 1a
Claremont, CA 91711-4615
Mailing address
835 Locust Ave
Unit 426
Long Beach, CA 90813-4313
Phone (562) 606-2281
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 16117 | CA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1264118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1264118400000",
"number": "1124359617",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "835 LOCUST AVE",
"address_2": "UNIT 426",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908134313",
"telephone_number": "562-606-2281"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "480 N INDIAN HILL BLVD",
"address_2": "SUITE 1A",
"city": "CLAREMONT",
"state": "CA",
"postal_code": "917114615",
"telephone_number": "909-621-2023"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLAZEROFF",
"first_name": "HERB",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-01-22",
"last_updated": "2010-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY 16117",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Claremont, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.