Glickman Psychological Services, LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

GLICKMAN PSYCHOLOGICAL SERVICES, LLC

Practice address

80 Barclay Center
Suite 4
Cherry Hill, NJ 08034

Phone

(856) 669-9122

NPI assigned

Jul 14, 2020

Last updated

Jul 14, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Alissa R Glickman, PHDNPI 1275684193

Title

Owner/Psychologist

Phone

(856) 669-9122

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Alissa R Glickman, PH.D.

  • Psychologist
  • Cherry Hill, NJ
  • NPI 1275684193
  NPD Authorized official

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

{
    "created_epoch": "1594684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594684800000",
    "number": "1821606054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1906 ROLLING LN",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080033328",
            "telephone_number": "267-879-3967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 BARCLAY CENTER",
            "address_2": "SUITE 4",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "08034",
            "telephone_number": "856-669-9122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLICKMAN PSYCHOLOGICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-14",
        "last_updated": "2020-07-14",
        "certification_date": "2020-07-14",
        "status": "A",
        "authorized_official_last_name": "GLICKMAN",
        "authorized_official_first_name": "ALISSA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER/PSYCHOLOGIST",
        "authorized_official_telephone_number": "856-669-9122",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyle Gleaves, MD
• Tara E. Gleeson, DO
• Barry S. Gleimer, D.O.
• Jeffrey Gleimer, D.O.
• Harry Glenn Jr., CADC
• Alissa R Glickman, PH.D.
• Irene Glinos
• Cassandra Gluck
• Nilufar Godin, DO
• Janusz Godyn

• Clinical Psychologist in Cherry Hill, NJ
• Providers in Cherry Hill, NJ by specialty
• Clinical Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2020; 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.