Patricia M Glickman, MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFC 49152 Issued in CA

Practice address

625 14TH St Ste B
Paso Robles, CA 93446-7213

Phone

(805) 610-8729

Fax

(805) 876-5412

NPI assigned

Mar 29, 2011

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 names 1

• Tia Glickman Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Center for Therapeutic Alliance

  • Psychologist
  • Paso Robles, CA
  • NPI 1992107007

  Marriage & Family Therapist

  NPD (past) Authorized official

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

{
    "created_epoch": "1301356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386806400000",
    "number": "1790074839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 SUITE B 14TH ST",
            "city": "PASO ROBLES",
            "state": "CA",
            "postal_code": "934465503",
            "telephone_number": "805-610-8729",
            "fax_number": "805-876-5412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 14TH ST STE B",
            "city": "PASO ROBLES",
            "state": "CA",
            "postal_code": "934467213",
            "telephone_number": "805-610-8729",
            "fax_number": "805-876-5412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLICKMAN",
        "first_name": "PATRICIA",
        "middle_name": "M",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-29",
        "last_updated": "2013-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 49152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIA",
            "last_name": "GLICKMAN",
            "credential": "MFT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Haley Garelli, RD
• Garfield Beach CVS LLC
• Gary L. Englund, OD, Apc
• Carl Gescheider
• Bonnie Glenesk
• Kristen E Goetsch, PT
• Kathryn Rose Gold
• Golden Bear Home Card SVCS
• Boruch Goldstein
• Emily Gomes

• Marriage & Family Therapist in Paso Robles, CA
• Providers in Paso Robles, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.