Active NPI
Courtney Glueck, PH.D.
- Psychologist
- Franklin Springs, GA
National Provider Identifier
1760898829
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY003793
- Practice address
- 63 Springs Station Dr.
Franklin Springs, GA 30639 - Phone
- (706) 246-0733
- Fax
- (706) 246-0722
- NPI assigned
- Jul 9, 2014
- Last updated
- Jul 9, 2014
- Sex
- Female
- Sole proprietor
- No
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 | PSY003793 | GA | Primary |
Addresses
Primary practice location
63 Springs Station Dr.
Franklin Springs, GA 30639
Mailing address
PO Box 157
Franklin Springs, GA 30639-0157
Phone (706) 246-0733
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY003793 | GA | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. Sunda Friedman Tebockhorst Psychologicl Services, LTD | Psychologist | Past | Accepting new patients |
| Dr. Sunda Friedman Tebockhorst Psychologicl Services, LTD | Psychologist | Past | Accepting new patients |
| Dr. Sunda Friedman Tebockhorst Psychological Services, LTD. | Psychologist | Past | Accepting new patients |
Organizations & group practices 3
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.
-
dba Metis Center for Psychological Services
- Clinical Psychologist
- Durango, CO
- NPI 1720695992
-
dba Metis Center for Psychological Services and Well Being
- Psychologist
- Lafayette, CO
- NPI 1548657877
-
dba Metis Center for Psychological Services
- Psychologist
- Lafayette, CO
- NPI 1669008314
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404864000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404864000000",
"number": "1760898829",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 157",
"city": "FRANKLIN SPRINGS",
"state": "GA",
"postal_code": "306390157",
"telephone_number": "706-246-0733",
"fax_number": "706-246-0722"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "63 SPRINGS STATION DR.",
"city": "FRANKLIN SPRINGS",
"state": "GA",
"postal_code": "30639",
"telephone_number": "706-246-0733",
"fax_number": "706-246-0722"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLUECK",
"first_name": "COURTNEY",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-09",
"last_updated": "2014-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "GA",
"license": "PSY003793",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Franklin Springs, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.