Glenn Firestone, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

005945 Issued in NY

Practice address

829 President St
Brooklyn, NY 11215-1405

Phone

(800) 211-7369

NPI assigned

Oct 3, 2006

Last updated

Oct 10, 2007By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191974400000",
    "number": "1689768715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "829 PRESIDENT ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112151405",
            "telephone_number": "800-211-7369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "829 PRESIDENT ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112151405",
            "telephone_number": "800-211-7369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIRESTONE",
        "first_name": "GLENN",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "005945",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01478124",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jude Fiotte
• Mohinur Firdavsi, PA-C
• Vadim Firdman, DDS
• Firefliesny
• Paolo Firenze, M.S.ED.
• Noah S Fireworker, D.D.S.
• Shoshana Fireworker, PA
• Firm de Soleil
• Marsha Firmin
• Neha Firoze, D.O.

• Psychologist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2007; 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.