Barbara Gluckin, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

13999 Issued in NY

Practice address

22 Park PL
Ste B
Great Neck, NY 11021-5012

Phone

(917) 715-1236

NPI assigned

Jul 27, 2006

Last updated

Oct 12, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Feb 12, 2025 through Feb 12, 2027

Medicare enrollment (NPD)

Enrolled

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.

• Long Island Sound Psychiatry PLLC

  • Psychiatry Physician
  • Great Neck, NY
  • NPI 1023866514
  NPD (past)

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633996800000",
    "number": "1750395901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 BARSTOW RD APT 3E",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110212221",
            "telephone_number": "917-715-1236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 PARK PL",
            "address_2": "STE B",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110215012",
            "telephone_number": "917-715-1236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLUCKIN",
        "first_name": "BARBARA",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2021-10-12",
        "certification_date": "2021-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "13999",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02513784",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GHI",
            "identifier": "0281EP",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lawrence Richard Glassman, MD
• Sarah Jennifer Glassman, L.C.S.W.
• Linda K Glazer, LCSW
• Yoav Glidai, MD
• Debra Gluck
• GN Pharmacy LLC (GN Pharmacy)
• GN Physicians
• Negin Gohari, D.O.
• Saagarika Sunil Gokhale, PT
• Gold Coast Cardiology PC

• Clinical Psychologist in Great Neck, NY
• Providers in Great Neck, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.