Active NPI
Emily Edelman Glickman
- Marriage & Family Therapist
- Los Angeles, CA
National Provider Identifier
1407356595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 151635
- Practice address
- 10583 Wilkins Ave
Los Angeles, CA 90024-6034 - Phone
- (310) 869-2242
- NPI assigned
- Feb 15, 2018
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 151635 | CA | Primary |
Addresses
Primary practice location
10583 Wilkins Ave
Los Angeles, CA 90024-6034
Mailing address
10583 Wilkins Ave
Los Angeles, CA 90024-6034
Phone (310) 869-2242
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jul 15, 2025 through Jul 15, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1518652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733184000000",
"number": "1407356595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10583 WILKINS AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900246034",
"telephone_number": "310-869-2242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10583 WILKINS AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900246034",
"telephone_number": "310-869-2242"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLICKMAN",
"first_name": "EMILY",
"middle_name": "EDELMAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-15",
"last_updated": "2024-12-03",
"certification_date": "2024-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "151635",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.