Active NPI
Richard Mark Glidden, M.DIV.
- Marriage & Family Therapist
- New York, NY
National Provider Identifier
1871704734
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 000391
- Practice address
- 26 W 9TH St
Suite 3a
New York, NY 10011-8971 - Phone
- (212) 534-9959
- Fax
- (212) 534-9959
- NPI assigned
- May 24, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pastoral Counselor | 101YP1600X | |||
| Marriage & Family Therapist | 106H00000X | 000391 | NY | Primary |
Addresses
Primary practice location
26 W 9TH St
Suite 3a
New York, NY 10011-8971
Mailing address
26 W 9TH St
Suite 3a
New York, NY 10011-8971
Phone (212) 534-9959
Other names 1
- Mr. R. Mark Glidden
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000391 | NY | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| RMG Marriage and Family Therapy, LLC | Marriage & Family Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Marriage & Family Therapist
- New York, NY
- NPI 1437329489
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421798400000",
"number": "1871704734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26 W 9TH ST",
"address_2": "SUITE 3A",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100118971",
"telephone_number": "212-534-9959",
"fax_number": "212-534-9959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26 W 9TH ST",
"address_2": "SUITE 3A",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100118971",
"telephone_number": "212-534-9959",
"fax_number": "212-534-9959"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLIDDEN",
"first_name": "RICHARD",
"middle_name": "MARK",
"name_prefix": "Mr.",
"credential": "M.DIV.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-24",
"last_updated": "2015-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YP1600X",
"taxonomy_group": "",
"desc": "Counselor, Pastoral",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NY",
"license": "000391",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "R.",
"last_name": "GLIDDEN",
"middle_name": "MARK",
"prefix": "MR.",
"credential": "M.DIV.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.