Individual provider Active NPI

Paul Benjamin Glovinsky, PH.D.

  • Clinical Psychologist
  • New York, NY
National Provider Identifier
1821169921
Registry record updated Jan 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
008914 Issued in NY
Practice address
175 W 13TH St Apt 1B
New York, NY 10011-7803
Phone
(212) 832-1526
Fax
(518) 464-9650
NPI assigned
Nov 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 19, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 008914 NY
Clinical Psychologist 103TC0700X 008914 NY Primary

Addresses

Primary practice location

175 W 13TH St Apt 1B
New York, NY 10011-7803

Mailing address

175 W 13TH St Apt 1B
New York, NY 10011-7803
Phone (212) 832-1526

Other practice location 1

1 Pine West Plaza
Washington Ave Ext c/o Sleep Center
Albany, NY 12205-5537
Phone (518) 464-9999

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address payer.credentialing@sphp.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090826000778 NY Practitioner - Clinical Psychologist 8426103417 Reassigns benefits to 1 organization
Practice locations: Albany, NY; New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

175 W 13TH St
Apt 1B
New York, NY 10011-7803
Phone (212) 832-1526

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
St. Peter'S Hospital of the City of Albany CurrentSince Jan 1, 2016 Accepting new patients
St. Peter'S Hospital of the City of Albany CurrentSince Jan 1, 2016 Accepting new patients
St. Peter'S Hospital of the City of Albany Current Accepting new patients

Locations

1 Pine West Plz
Ste 101
Albany, NY 12205
Phone (518) 464-9999

315 S Manning Blvd
Albany, NY 12208
Phone (518) 525-1852

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674086400000",
    "number": "1821169921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 W 13TH ST APT 1B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100117803",
            "telephone_number": "212-832-1526",
            "fax_number": "518-464-9650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 W 13TH ST APT 1B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100117803",
            "telephone_number": "212-832-1526",
            "fax_number": "518-464-9650"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Pine West Plaza",
            "address_2": "Washington Ave Ext c/o Sleep Center",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "NY",
            "postal_code": "122055537",
            "country_code": "US",
            "telephone_number": "518-464-9999",
            "fax_number": "518-464-9650",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GLOVINSKY",
        "first_name": "PAUL",
        "middle_name": "BENJAMIN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-11",
        "last_updated": "2023-01-19",
        "certification_date": "2023-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "008914",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "008914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "payer.credentialing@sphp.com",
            "affiliation": "N",
            "endpointDescription": "SPHP Payer Credentialing",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "1 PINE WEST PLAZA",
            "address_2": "WASHINGTON AVE EXT C/O SLEEP CENTER",
            "city": "ALBANY",
            "state": "NY",
            "country_code": "US",
            "postal_code": "122055537",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.