Benjamin Glueck, PHD
Individual provider Active NPI Psychologist · Elmsford, NY
NPI 1215411194 · NPPES record last updated Aug 26, 2026
Key facts
- NPI
- 1215411194
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- License
- 023538 (NY)
- Practice address
- 555 Taxter Rd FL 2
Elmsford, NY 10523-2336 - Phone
- (718) 304-7165
- NPI assigned
- Sep 18, 2018
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 18
Medicare Care Compare profile
- Specialty
- Psychiatry
- Education
- Other, 2018
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Montefiore Medical Center
Practice addresses (Care Compare)
111 E 210TH St
Bronx, NY 10467-2401
Phone (866) 633-8255
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201218000813 | NY | Practitioner - Psychiatry | 4183036908 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35SI00694400 | NJ | MD | Psychologist |
| 023538 | NY | MD | Psychologist |
Practice roles (3 of 7)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Montefiore Medical Center | Current |
Accepting new patients | |
| Montefiore Medical Center | Current |
Accepting new patients | |
| Sheridan Psychology Group PLLC | Current | Accepting new patients |
Locations
4401 Bronx Blvd
Bronx, NY 10470
Phone (718) 304-7000
3317 Rochambeau Ave
Bronx, NY 10467
Phone (718) 920-4797
111 E 210th St
Bronx, NY 10467
555 Taxter Rd
Fl 2
Elmsford, NY 10523
Phone (718) 304-7165
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
Interoperability endpoints
- bglueck@montefioredirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 35SI00694400 | NJ | |
| Psychologist | 103T00000X | 023538 | NY | Yes |
| Clinical Psychologist | 103TC0700X | PY11829 | FL |
Addresses
Primary practice location
555 Taxter Rd FL 2
Elmsford, NY 10523-2336
Mailing address
2007 Saint Andrews Rd
Hollywood, FL 33021-2942
Phone (786) 390-4616
Other practice location 1
2007 Saint Andrews Rd
Hollywood, FL 33021-2942
Phone (786) 390-4616
Other practice location 2
3317 Rochambeau Ave
Bronx, NY 10467-2841
Phone (718) 920-6215
Other providers in Elmsford, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 26, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.