Active NPI
Philip Gloninger
- Clinical Psychologist
- Bethesda, MD
National Provider Identifier
1740724244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 05471
- Practice address
- 4405 E West Hwy
Suite 207
Bethesda, MD 20814-4522 - Phone
- (610) 505-8914
- NPI assigned
- Dec 19, 2016
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 05471 | MD | Primary |
Addresses
Primary practice location
4405 E West Hwy
Suite 207
Bethesda, MD 20814-4522
Mailing address
5415 Connecticut Ave NW
Apt 813
Washington, DC 20015-2765
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250416001078 | DC | Practitioner - Psychologist Billing Independently | 0941725535 | Practice locations: Bethesda, MD |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05471 | MD | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1482105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1482105600000",
"number": "1740724244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5415 CONNECTICUT AVE NW",
"address_2": "APT 813",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200152765"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4405 E WEST HWY",
"address_2": "SUITE 207",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208144522",
"telephone_number": "610-505-8914"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLONINGER",
"first_name": "PHILIP",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-12-19",
"last_updated": "2016-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MD",
"license": "05471",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bethesda, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.