Melvin Gluck, PH.D

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2376 Issued in NJ

Practice address

251 Allison CT
Englewood, NJ 07631-4301

Phone

(201) 894-5717

Fax

(201) 894-5331

NPI assigned

Jun 27, 2008

Last updated

Jul 11, 2017By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Guardian Eldercare PC

  • Community/Behavioral Health Agency
  • Hackensack, NJ
  • NPI 1194888008
  NPD (past)

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

{
    "created_epoch": "1214524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1499731200000",
    "number": "1710149091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 ALLISON CT",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076314301",
            "telephone_number": "201-894-5717",
            "fax_number": "201-894-5331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 ALLISON CT",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076314301",
            "telephone_number": "201-894-5717",
            "fax_number": "201-894-5331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLUCK",
        "first_name": "MELVIN",
        "name_prefix": "Dr.",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-27",
        "last_updated": "2017-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "2376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven D Gillon, D.O.
• Benita Kaur Glamour
• Adam Glassman, M.D.
• Warren Glick, APN
• Lauren Gliniak
• Carolyn Grace Certo Gnerre, M.D.
• Gold Star Physical Therapy LLC
• Jacob L Goldberg, MD
• Lorna Scales Goldberg, LCSW
• William Seth Goldberg, MSW

• Clinical Psychologist in Englewood, NJ
• Providers in Englewood, NJ by specialty
• Clinical Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2017; 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.