Michael Alan Glazer, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY6437 Issued in CA

Practice address

1200 Paseo Camarillo
Ste 245
Camarillo, CA 93010-6085

Phone

(805) 482-7866

Fax

(805) 388-3039

NPI assigned

Mar 9, 2006

Last updated

Feb 19, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

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

Specialty

Clinical Psychologist

Education

Other, 1978

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Erik Lande, PHD, a Professional Psychological Corporation

  dba Insight Neuropsychology

  • Clinical Neuropsychologist
  • Camarillo, CA
  • NPI 1972932481
  NPD (past)
• F. David Rudnick, MD, a Medical Corporation

  • Psychiatry Physician
  • Santa Monica, CA
  • NPI 1427329028
  NPD (past)

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329609600000",
    "number": "1316915093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 PASEO CAMARILLO",
            "address_2": "STE 245",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930106085",
            "telephone_number": "805-482-7866",
            "fax_number": "805-388-3039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 PASEO CAMARILLO",
            "address_2": "STE 245",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930106085",
            "telephone_number": "805-482-7866",
            "fax_number": "805-388-3039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLAZER",
        "first_name": "MICHAEL",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-09",
        "last_updated": "2012-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY6437",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "PSY6437",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christine Gilroy, NP
• Cynthia Giron
• Erika Giroux, RDN
• Jeffery Charles Gisler, DC
• Veronica Glas, BSN-RN
• Mitchell Glodowski, DPM
• Amanda Jane Glover
• Federico Godina, LCSW
• Beau Godtel
• Linda Lea Goff, MRT

• Psychologist in Camarillo, CA
• Providers in Camarillo, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2012; 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.

Verify at the official NPI Registry.