Individual provider Active NPI

Howard Mark Gluss

  • Clinical Psychologist
  • Beverly Hills, CA
National Provider Identifier
1215131925
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY21522 Issued in CA
Practice address
321 S Beverly Dr Ste T
Beverly Hills, CA 90212-4303
Phone
(323) 935-9712
Fax
(323) 935-5775
NPI assigned
Jun 14, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY21522 CA Primary

Addresses

Primary practice location

321 S Beverly Dr Ste T
Beverly Hills, CA 90212-4303

Mailing address

321 S Burnside Ave Ste 4B
Los Angeles, CA 90036-3269
Phone (323) 935-9712

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20100513000900 CA Practitioner - Clinical Psychologist 8820125644 Practice locations: Los Angeles, CA; Beverly Hills, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

321 S Beverly Dr T
Beverly Hills, CA 90212-4303
Phone (323) 935-9712

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY21522CAMDClinical Psychologist
21522CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Neurology Pediatric Neurology Past Accepting new patients
BNL Health Inc. Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215131925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 S BURNSIDE AVE STE 4B",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900363269",
            "telephone_number": "323-935-9712",
            "fax_number": "323-935-5775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 S BEVERLY DR STE T",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902124303",
            "telephone_number": "323-935-9712",
            "fax_number": "323-935-5775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLUSS",
        "first_name": "HOWARD",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY21522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

Verify at the official NPI Registry.