Lenka Glassman, PSYD

Individual provider Active NPI Psychologist · Washington, DC

NPI 1780193581 · NPPES record last updated Sep 25, 2017

Key facts

NPI
1780193581
Entity type
Individual (NPI type 1)
Primary specialty
Psychologist 103T00000X
License
1001157 (DC)
Practice address
5100 Wisconsin Ave NW
Washington, DC 20016-4119
Phone
(202) 213-9204
NPI assigned
Sep 25, 2017
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
1001157DCMDPsychologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 1001157 DC Yes

Addresses

Primary practice location

5100 Wisconsin Ave NW
Washington, DC 20016-4119

Mailing address

4719 Davenport St NW
Washington, DC 20016-4405

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 25, 2017.

{
    "created_epoch": "1506297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506297600000",
    "number": "1780193581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4719 DAVENPORT ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200164405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 WISCONSIN AVE NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200164119",
            "telephone_number": "202-213-9204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLASSMAN",
        "first_name": "LENKA",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-25",
        "last_updated": "2017-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "DC",
            "license": "1001157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

All providers in Washington, DC · Psychologist in District of Columbia

Sources for this page

Verify at the official NPI Registry.