Alissa R Glickman, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

4383 Issued in NJ

Practice address

80 Barclay CT
Suite 4
Cherry Hill, NJ 08034

Phone

(856) 669-9122

NPI assigned

Jan 16, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Glickman Psychological Services, LLC

  • Clinical Psychologist
  • Cherry Hill, NJ
  • NPI 1821606054
  NPD Authorized official

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594684800000",
    "number": "1275684193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 BARCLAY CENTER",
            "address_2": "SUITE 4",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "08034",
            "telephone_number": "856-669-9122",
            "fax_number": "866-563-5311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 BARCLAY CT",
            "address_2": "SUITE 4",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "08034",
            "telephone_number": "856-669-9122"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "42 E Laurel Rd",
            "address_2": "UDP 1100",
            "address_purpose": "LOCATION",
            "city": "Stratford",
            "state": "NJ",
            "postal_code": "080841354",
            "country_code": "US",
            "telephone_number": "856-566-7036",
            "fax_number": "856-566-6108",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GLICKMAN",
        "first_name": "ALISSA",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-16",
        "last_updated": "2020-07-14",
        "certification_date": "2020-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "4383",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0131911",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tara E. Gleeson, DO
• Barry S. Gleimer, D.O.
• Jeffrey Gleimer, D.O.
• Harry Glenn Jr., CADC
• Glickman Psychological Services, LLC
• Irene Glinos
• Cassandra Gluck
• Nilufar Godin, DO
• Janusz Godyn
• Ravi D Goel, M.D.

• Psychologist in Cherry Hill, NJ
• Providers in Cherry Hill, NJ by specialty
• Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2020; 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.