NPIMap

Organization Active NPI

Glassman & Stanik Consulting Psychologists, LLC

  • Clinical Neuropsychologist
  • Milwaukee, WI
National Provider Identifier
1720105877
Registry record updated Jan 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
1653 Issued in WI
Legal business name
GLASSMAN & STANIK CONSULTING PSYCHOLOGISTS, LLC
Practice address
7635 W Oklahoma Ave
Suite 201
Milwaukee, WI 53219-3600
Phone
(414) 444-9811
Fax
(414) 444-9822
NPI assigned
Mar 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2010

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

Authorized official

Name
Nathan D. Glassman, PHD
Title
Doctor
Phone
(414) 444-9811

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical NeuropsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103G00000X 1653 WI Primary
Clinical NeuropsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103G00000X 1998 WI
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X 1653 WI
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X 1998 WI

Addresses

Primary practice location

7635 W Oklahoma Ave
Suite 201
Milwaukee, WI 53219-3600

Mailing address

7635 W Oklahoma Ave
Suite 201
Milwaukee, WI 53219-3600
Phone (414) 444-9811

National Provider Directory

National Provider Directory

Locations

6001 W Center St
Ste 201
Milwaukee, WI 53210
Phone (414) 324-5318

7635 W Oklahoma Ave
Ste 201
Milwaukee, WI 53219
Phone (414) 444-9811

Practitioners & affiliated clinicians

Practitioners 41

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 41

NPI Registry JSON

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264723200000",
    "number": "1720105877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7635 W OKLAHOMA AVE",
            "address_2": "SUITE 201",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532193600",
            "telephone_number": "414-444-9811",
            "fax_number": "414-444-9822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7635 W OKLAHOMA AVE",
            "address_2": "SUITE 201",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532193600",
            "telephone_number": "414-444-9811",
            "fax_number": "414-444-9822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLASSMAN & STANIK CONSULTING PSYCHOLOGISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2010-01-29",
        "status": "A",
        "authorized_official_last_name": "GLASSMAN",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "414-444-9811",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "WI",
            "license": "1653",
            "primary": true
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "WI",
            "license": "1998",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "WI",
            "license": "1653",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "WI",
            "license": "1998",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2010; 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.