Active NPI
Mark Glat, PSY.D.
- Psychologist
- Princeton, NJ
National Provider Identifier
1740408202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 2331
- Practice address
- 33 Witherspoon St
2ND Floor
Princeton, NJ 08542-3207 - Phone
- (609) 924-2225
- Fax
- (973) 584-9954
- NPI assigned
- Apr 23, 2007
- Sex
- Male
- 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 | 2331 | NJ | Primary |
Addresses
Primary practice location
33 Witherspoon St
2ND Floor
Princeton, NJ 08542-3207
Mailing address
33 Witherspoon St
2ND Floor
Princeton, NJ 08542-3207
Phone (609) 924-2225
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2331 | NJ | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1740408202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33 WITHERSPOON ST",
"address_2": "2ND FLOOR",
"city": "PRINCETON",
"state": "NJ",
"postal_code": "085423207",
"telephone_number": "609-924-2225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33 WITHERSPOON ST",
"address_2": "2ND FLOOR",
"city": "PRINCETON",
"state": "NJ",
"postal_code": "085423207",
"telephone_number": "609-924-2225",
"fax_number": "973-584-9954"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLAT",
"first_name": "MARK",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NJ",
"license": "2331",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Princeton, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.