Active NPI
Michelle Glantz, PH.D.
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Los Angeles, CA
National Provider Identifier
1720796576
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- MICHELLE GLANTZ, PH.D.
- Practice address
- 11980 San Vicente Blvd Ste 711
Los Angeles, CA 90049-6605 - Phone
- (917) 655-2363
- NPI assigned
- Nov 10, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Michelle Glantz, PHD
- Title
- Clinical Psychologist
- Phone
- (917) 655-2363
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
11980 San Vicente Blvd Ste 711
Los Angeles, CA 90049-6605
Mailing address
13450 Bayliss Rd
Los Angeles, CA 90049-1833
Phone (917) 655-2363
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Psychologist
- Los Angeles, CA
- NPI 1275957094
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1668038400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1668038400000",
"number": "1720796576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13450 BAYLISS RD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900491833",
"telephone_number": "917-655-2363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11980 SAN VICENTE BLVD STE 711",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900496605",
"telephone_number": "917-655-2363"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MICHELLE GLANTZ, PH.D.",
"organizational_subpart": "NO",
"enumeration_date": "2022-11-10",
"last_updated": "2022-11-10",
"certification_date": "2022-11-10",
"status": "A",
"authorized_official_last_name": "GLANTZ",
"authorized_official_first_name": "MICHELLE",
"authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
"authorized_official_telephone_number": "917-655-2363",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
- Jordan John Michelena, MD
- Megan Micheletti, PHD
- Michelle a. Woods, DDS, MPH, Inc
- Michelle B Smith PSYD Inc
- Michelle Dinh Nguyen MD a Medical Corporation
- Michelle H. Lee, M.D., Professional Corporation
- Michelle Harwell Therapy
- Michelle Ischayek DO PC
- Michelle K Malloy Acupuncture and Wellness Inc.
- Michelle M Kelman DDS PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.