Emily Nicole Glickman

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

114279 Issued in CA

Practice address

6259 Smoke Tree Ave
Oak Park, CA 91377-1149

Phone

(818) 268-2170

NPI assigned

Jan 21, 2015

Last updated

Jul 6, 2020By the provider in NPPES

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

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Psychological Behavioral Health Inc

  • Psychiatric/Mental Health Nurse Practitioner
  • Ventura, CA
  • NPI 1154954303

  Marriage & Family Therapist

  Medicare reassignment NPD

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

{
    "created_epoch": "1421798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593993600000",
    "number": "1306235809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6259 SMOKE TREE AVE",
            "city": "OAK PARK",
            "state": "CA",
            "postal_code": "913771149",
            "telephone_number": "818-268-2170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6259 SMOKE TREE AVE",
            "city": "OAK PARK",
            "state": "CA",
            "postal_code": "913771149",
            "telephone_number": "818-268-2170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLICKMAN",
        "first_name": "EMILY",
        "middle_name": "NICOLE",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-21",
        "last_updated": "2020-07-06",
        "certification_date": "2020-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "114279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacey Mandel Garfinkel
• Alice Kate Geisman, PHARMD
• Raina Ghajar
• Theresa Gillibrand
• Marissa Leigh Gilmore
• Joseph Guidetti, PUPIL PERSONNEL SERV
• Paul Hahn, LMFT
• Chad Daniel Hampton, LMFT
• Katrina Hanna, LMFT
• Gary Thomas Hardeman, M.A.

• Marriage & Family Therapist in Oak Park, CA
• Providers in Oak Park, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.