Active NPI
Howard Mark Gluss
- Clinical Psychologist
- Beverly Hills, CA
National Provider Identifier
1215131925
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY21522
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| PSY21522 | CA | MD | Clinical Psychologist |
| 21522 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Neurology Physician
- Los Angeles, CA
- NPI 1346560661
-
- Specialist
- Los Angeles, CA
- NPI 1801915798
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.