Robert Glanz, PH.D.
Individual provider Active NPI Clinical Psychologist · Santa Fe, NM
NPI 1679524003 · NPPES record last updated Sep 23, 2013
Key facts
- NPI
- 1679524003
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 0934 (NM)
- Practice address
- 119 E Marcy St
Suite 202
Santa Fe, NM 87501-2084 - Phone
- (888) 982-3113
- Fax
- (888) 982-2462
- NPI assigned
- May 12, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0934 | NM | MD | Clinical Psychologist |
| 015475 | NY | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The New York and Presbyterian Hospital | Past | Accepting new patients | |
| SLR Psychiatric Associates | Past | Accepting new patients | |
| Adams Bejarano, LLC | Clinical | Past | Accepting new patients |
Interoperability endpoints
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 0934 | NM | Yes |
Addresses
Primary practice location
119 E Marcy St
Suite 202
Santa Fe, NM 87501-2084
Mailing address
PO Box 32390
Santa Fe, NM 87594-2390
Phone (888) 982-3113
Other providers in Santa Fe, NM
- Marian M Girmus
- Victoria Gish
- Michael Massimo Giudici
- Paolo Giudici
- Sarah Elizabeth Gladney
- Emily Glaser
- Glimmer Support Services LLC
- Glimmers Mental Health LLC
- Alyssa Glover
- Christine Glover
All providers in Santa Fe, NM · Clinical Psychologist in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 23, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.