Active NPI
Linda B Glazer, PSYD
- Psychologist
- Tenafly, NJ
National Provider Identifier
1700898731
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 2357
- Practice address
- 82 N Summit St
Tenafly, NJ 07670-1016 - Phone
- (201) 569-6633
- Fax
- (201) 568-5571
- NPI assigned
- Aug 11, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 2357 | NJ | Primary |
Addresses
Primary practice location
82 N Summit St
Tenafly, NJ 07670-1016
Mailing address
27 Ellens Way
Alpine, NJ 07620-1113
Phone (201) 569-6633
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Previously, effective Aug 27, 2020 through Aug 27, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2357 | NJ | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1700898731",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27 ELLENS WAY",
"city": "ALPINE",
"state": "NJ",
"postal_code": "076201113",
"telephone_number": "201-569-6633",
"fax_number": "201-568-5571"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "82 N SUMMIT ST",
"city": "TENAFLY",
"state": "NJ",
"postal_code": "076701016",
"telephone_number": "201-569-6633",
"fax_number": "201-568-5571"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLAZER",
"first_name": "LINDA",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NJ",
"license": "2357",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tenafly, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.