Individual provider Active NPI

Marvin Alan Glovinsky, PHD

  • Psychologist
  • Las Vegas, NV
National Provider Identifier
1194819367
Registry record updated Dec 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY0026 Issued in NV
Practice address
1919 S Jones Blvd
Suite D
Las Vegas, NV 89146-0905
Phone
(702) 362-7785
Fax
(702) 362-4791
NPI assigned
Oct 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 29, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 1059792501 UT
Psychologist 103T00000X PY0026 NV Primary

Addresses

Primary practice location

1919 S Jones Blvd
Suite D
Las Vegas, NV 89146-0905

Mailing address

1919 S Jones Blvd
Suite D
Las Vegas, NV 89146-0905
Phone (702) 362-7785

Other names 1

  • Dr. Marvin A Glovinsky Professional name

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)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PY0026NVMDPsychologist
1059792501UTMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419811200000",
    "number": "1194819367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 S JONES BLVD",
            "address_2": "SUITE D",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891460905",
            "telephone_number": "702-362-7785",
            "fax_number": "702-362-4791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 S JONES BLVD",
            "address_2": "SUITE D",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891460905",
            "telephone_number": "702-362-7785",
            "fax_number": "702-362-4791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLOVINSKY",
        "first_name": "MARVIN",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2014-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "UT",
            "license": "1059792501",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NV",
            "license": "PY0026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARVIN",
            "last_name": "GLOVINSKY",
            "middle_name": "A",
            "prefix": "DR.",
            "credential": "PHD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 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.

Verify at the official NPI Registry.