Active NPI
Julie Alexis Glantz, CCC-SLP
- Speech-Language Pathologist
- Maspeth, NY
National Provider Identifier
1255876397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 026335
- Practice address
- 58-74 57TH St
Maspeth, NY 11378-3126 - Phone
- (516) 503-7188
- NPI assigned
- Dec 28, 2016
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 026335 | NY | Primary |
Addresses
Primary practice location
58-74 57TH St
Maspeth, NY 11378-3126
Mailing address
6 Heather Dr
Roslyn, NY 11576-2211
Phone (516) 503-7188
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 026335 | NY | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1482883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1482883200000",
"number": "1255876397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 HEATHER DR",
"city": "ROSLYN",
"state": "NY",
"postal_code": "115762211",
"telephone_number": "516-503-7188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "58-74 57TH ST",
"city": "MASPETH",
"state": "NY",
"postal_code": "113783126",
"telephone_number": "516-503-7188"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLANTZ",
"first_name": "JULIE",
"middle_name": "ALEXIS",
"name_prefix": "Ms.",
"credential": "CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-12-28",
"last_updated": "2016-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "026335",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Maspeth, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.