Glenn I Bronley, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

006895-1 Issued in NY

Practice address

2117 Crompnd Road
Suite 23
Cortlandt Manor, NY 10567-4316

Phone

(914) 737-0013

Fax

(914) 737-0013

NPI assigned

Sep 21, 2006

Last updated

Jul 26, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: glenn.bronley@direct.hvhc.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cortlandt Consultation for Psychological Services, PC

  • Psychologist
  • Cortlandt Manor, NY
  • NPI 1386743144
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564099200000",
    "number": "1174621148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2117 CROMPND ROAD",
            "address_2": "SUITE 23",
            "city": "CORTLANDT MANOR",
            "state": "NY",
            "postal_code": "105674316",
            "telephone_number": "914-737-0013",
            "fax_number": "914-737-0013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2117 CROMPND ROAD",
            "address_2": "SUITE 23",
            "city": "CORTLANDT MANOR",
            "state": "NY",
            "postal_code": "105674316",
            "telephone_number": "914-737-0013",
            "fax_number": "914-737-0013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRONLEY",
        "first_name": "GLENN",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2019-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "006895-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Patricia Bradley, LPN
• Maureen Patricia Brann, PT
• Valerie E Braun, LMSW
• David S Breslin, M.D.
• Bonnie Brody, LMSW
• Desline Brown
• Samantha Lee Bruno, PA
• Steven W Bruno, DC
• Dianne Buchman
• Diane Bucolo

• Clinical Psychologist in Cortlandt Manor, NY
• Providers in Cortlandt Manor, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.