Individual provider Active NPI

Kathryn Glaberman, PH.D.

  • Psychologist
  • Westfield, NJ
National Provider Identifier
1700944642
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
SI0036100 Issued in NJ
Practice address
220 Lenox Ave
Westfield, NJ 07090-5101
Phone
(908) 789-2200
Fax
(908) 889-4481
NPI assigned
Dec 4, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X SI0036100 NJ Primary

Addresses

Primary practice location

220 Lenox Ave
Westfield, NJ 07090-5101

Mailing address

220 Lenox Ave
Westfield, NJ 07090-5101
Phone (908) 789-2200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151209001306 NJ Practitioner - Clinical Psychologist 8022319474 Practice locations: Westfield, NJ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

220 Lenox Ave
Westfield, NJ 07090-2136

220 Lenox Ave
Suite 201
Westfield, NJ 07090-5119
Phone (908) 789-2200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
SI0036100NJMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700944642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 LENOX AVE",
            "city": "WESTFIELD",
            "state": "NJ",
            "postal_code": "070905101",
            "telephone_number": "908-789-2200",
            "fax_number": "908-889-4481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 LENOX AVE",
            "city": "WESTFIELD",
            "state": "NJ",
            "postal_code": "070905101",
            "telephone_number": "908-789-2200",
            "fax_number": "908-889-4481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLABERMAN",
        "first_name": "KATHRYN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "SI0036100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westfield, NJ

Sources for this page

Verify at the official NPI Registry.