Active NPI
Glen David Skoler, PH.D.
- Clinical Psychologist
- Lansdowne, PA
National Provider Identifier
1154652667
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- TPS030034
- Practice address
- 250 W Plumstead Ave
Lansdowne, PA 19050-1308 - Phone
- (240) 605-2988
- Fax
- (484) 461-9371
- NPI assigned
- Jan 22, 2010
- Last updated
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | TPS030034 | PA | Primary |
| Clinical Psychologist | 103TC0700X | 02989 | MD | |
| Forensic Psychologist | 103TF0200X | TPS030034 | PA | |
| Forensic Psychologist | 103TF0200X | 02989 | MD |
Addresses
Primary practice location
250 W Plumstead Ave
Lansdowne, PA 19050-1308
Mailing address
250 W Plumstead Ave
Lansdowne, PA 19050-1308
Phone (240) 605-2988
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 |
|---|---|---|---|
| 02989 | MD | MD | Forensic Psychologist |
| TPS030034 | PA | MD | Forensic 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": "1154652667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 W PLUMSTEAD AVE",
"city": "LANSDOWNE",
"state": "PA",
"postal_code": "190501308",
"telephone_number": "240-605-2988",
"fax_number": "484-461-9371"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 W PLUMSTEAD AVE",
"city": "LANSDOWNE",
"state": "PA",
"postal_code": "190501308",
"telephone_number": "240-605-2988",
"fax_number": "484-461-9371"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SKOLER",
"first_name": "GLEN",
"middle_name": "DAVID",
"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": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PA",
"license": "TPS030034",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MD",
"license": "02989",
"primary": false
},
{
"code": "103TF0200X",
"taxonomy_group": "",
"desc": "Psychologist, Forensic",
"state": "PA",
"license": "TPS030034",
"primary": false
},
{
"code": "103TF0200X",
"taxonomy_group": "",
"desc": "Psychologist, Forensic",
"state": "MD",
"license": "02989",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lansdowne, PA
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.