Leslie A Glassman, PSYD, LBS

Primary specialty

School PsychologistTaxonomy code 103TS0200X

Practice address

107E Shawnee Squre Dr. SE
Shawnee on Delaware, PA 18356

Phone

(570) 369-4991

NPI assigned

Nov 19, 2013

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 1, 2021.

{
    "created_epoch": "1384819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638316800000",
    "number": "1487084042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 ARROWWOOD DR UNIT A",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183029640",
            "telephone_number": "570-234-9218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107E SHAWNEE SQURE DR. SE",
            "city": "SHAWNEE ON DELAWARE",
            "state": "PA",
            "postal_code": "18356",
            "telephone_number": "570-369-4991"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "69 Arrowwood Dr Unit A",
            "address_purpose": "LOCATION",
            "city": "East Stroudsburg",
            "state": "PA",
            "postal_code": "183029640",
            "country_code": "US",
            "telephone_number": "570-234-9218",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GLASSMAN",
        "first_name": "LESLIE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "PSYD, LBS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-19",
        "last_updated": "2021-12-01",
        "certification_date": "2021-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "PA",
            "license": "BH000497",
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dolsie Allen, C.R.N.P.
• Children'S Universal Behavior Services
• Ian Scott Foster, M.D.
• William Gregg, C.R.N.P.
• Anne Romanowski, C.R.N.P.
• Shawnee Medical Group, P.C.
• Frank Michael Toton, DMD

• All providers in Shawnee on Delaware, PA
• School Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2021; 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.