Glenn B Soberman, PHD

Primary specialty

Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X

License

014273 Issued in NY

Practice address

52 S Manheim Blvd
New Paltz, NY 12561-2406

Phone

(845) 255-2443

Fax

(845) 853-1547

NPI assigned

Dec 28, 2006

Sex

Male

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Previously, effective Sep 1, 2024 through Sep 1, 2026

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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.

• Hollander Psychological Consulting PC

  • Clinical Psychologist
  • White Plains, NY
  • NPI 1760534481
  NPD (past)
• Lisa a. Maffucci, D.C., PLLC

  • Chiropractor
  • Kingston, NY
  • NPI 1669701165
  NPD (past)

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424217600000",
    "number": "1821154469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 S MANHEIM BLVD",
            "city": "NEW PALTZ",
            "state": "NY",
            "postal_code": "125612406",
            "telephone_number": "845-255-2443",
            "fax_number": "845-853-1547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 S MANHEIM BLVD",
            "city": "NEW PALTZ",
            "state": "NY",
            "postal_code": "125612406",
            "telephone_number": "845-255-2443",
            "fax_number": "845-853-1547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOBERMAN",
        "first_name": "GLENN",
        "middle_name": "B",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-28",
        "last_updated": "2015-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "NY",
            "license": "014273",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02206384",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrea Lynn Singer, MA, PHD
• Beth Sirof, PSY.D.
• Lisa Sloane
• Olivia B Snyder
• Sobel Orthotics and Shoes Inc
• Mollie R Sokolov, LCSW
• Mark Sommers, P.T.
• Rachel Spear, LCSW
• James Theodore Spencer, MD
• Michele Lee Speranza, PH.D.

• Cognitive & Behavioral Psychologist in New Paltz, NY
• Providers in New Paltz, NY by specialty
• Cognitive & Behavioral Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2015; 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.