Organization Active NPI

Kim L Glickman, LLC

  • Community/Behavioral Health Agency
  • Bronxville, NY
National Provider Identifier
1619677416
Registry record updated Mar 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
KIM L GLICKMAN, LLC
Practice address
7 Pondfield Rd Ste 205
Bronxville, NY 10708-3781
Phone
(718) 795-3989
NPI assigned
Mar 9, 2023
Last updated
Mar 9, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2023

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

Authorized official

Name
Kim Glickman, LCSW, PHDNPI 1194074872
Title
Owner
Phone
(718) 795-3989

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

7 Pondfield Rd Ste 205
Bronxville, NY 10708-3781

Mailing address

29 E Birch St
Mount Vernon, NY 10552-1801
Phone (718) 795-3989

National Provider Directory

National Provider Directory

Locations

7 Pondfield Rd
Ste 205
Bronxville, NY 10708
Phone (718) 795-3989

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1678320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678320000000",
    "number": "1619677416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 E BIRCH ST",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105521801",
            "telephone_number": "718-795-3989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 PONDFIELD RD STE 205",
            "city": "BRONXVILLE",
            "state": "NY",
            "postal_code": "107083781",
            "telephone_number": "718-795-3989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIM L GLICKMAN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-09",
        "last_updated": "2023-03-09",
        "certification_date": "2023-03-09",
        "status": "A",
        "authorized_official_last_name": "GLICKMAN",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-795-3989",
        "authorized_official_credential": "LCSW, PHD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronxville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2023; 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.