Pamela Ann Gluck, CASAC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

33555 Issued in NY

Practice address

17 Sussex Street
Port Jervis, NY 12771

Phone

(845) 856-6344

Fax

(845) 856-4091

NPI assigned

Aug 31, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1504137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1871011775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 SUSSEX ST",
            "city": "PORT JERVIS",
            "state": "NY",
            "postal_code": "127712430",
            "telephone_number": "845-856-6344",
            "fax_number": "845-856-4091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 SUSSEX STREET",
            "city": "PORT JERVIS",
            "state": "NY",
            "postal_code": "12771",
            "telephone_number": "845-856-6344",
            "fax_number": "845-856-4091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLUCK",
        "first_name": "PAMELA",
        "middle_name": "ANN",
        "credential": "CASAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-31",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "33555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Irma Elisabeth Gehrung, RN
• Genevieve Clineman LCSW
• Charleny Genoval
• Daniel David Gersten
• Bhupinder S Gill, MD
• Henry R Goldstein, MD
• Margaret Ann Gordon, CASAC-T
• Deanna L Gorton, RN
• Christine E Goudreau, PTA
• Donna Ann Goulette, LICENSED

• Addiction (Substance Use Disorder) Counselor in Port Jervis, NY
• Providers in Port Jervis, NY by specialty
• Addiction (Substance Use Disorder) Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.