Glen Michael Chernack, PH.D.

Primary specialty

School PsychologistTaxonomy code 103TS0200X

Practice address

176 N Washington St
Sleepy Hollow, NY 10591-2606

Phone

(718) 813-8696

NPI assigned

Jan 3, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1325548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325548800000",
    "number": "1134499536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176 N WASHINGTON ST",
            "city": "SLEEPY HOLLOW",
            "state": "NY",
            "postal_code": "105912606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 N WASHINGTON ST",
            "city": "SLEEPY HOLLOW",
            "state": "NY",
            "postal_code": "105912606",
            "telephone_number": "718-813-8696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHERNACK",
        "first_name": "GLEN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-01-03",
        "last_updated": "2012-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bonita G Chapman, M.D.
• Jodi-Ann Charlton, MD
• Manveen Kaur Chaudhary
• Mary Catherine Chech
• Michael Isaac Cheng
• David Thien Shing Chia, MD
• Gloria A Chia, MD
• Yonghee Choi, MD
• Young W Choi, MD
• Krystina Choinski, MD

• School Psychologist in Sleepy Hollow, NY
• Providers in Sleepy Hollow, NY by specialty
• School Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 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.

Verify at the official NPI Registry.