Individual provider Active NPI

Kathryn Glickman, PSY.D.

  • Psychologist
  • Schenectady, NY
National Provider Identifier
1902456064
Registry record updated Jun 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Practice address
240 State St Apt 411
Schenectady, NY 12305-1871
Phone
(518) 610-1920
NPI assigned
Sep 19, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X Primary

Addresses

Primary practice location

240 State St Apt 411
Schenectady, NY 12305-1871

Mailing address

240 State St Apt 411
Schenectady, NY 12305-1871

Other practice location 1

7050 Austin St Ste 111
Forest Hills, NY 11375-4746
Phone (518) 610-1920

Other practice location 2

75 Plandome Rd
Manhasset, NY 11030-2303
Phone (518) 610-1920

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

NPI Registry JSON

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

{
    "created_epoch": "1568851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718582400000",
    "number": "1902456064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 STATE ST APT 411",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123051871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 STATE ST APT 411",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123051871",
            "telephone_number": "518-610-1920"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7050 Austin St Ste 111",
            "address_purpose": "LOCATION",
            "city": "Forest Hills",
            "state": "NY",
            "postal_code": "113754746",
            "country_code": "US",
            "telephone_number": "518-610-1920",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "75 Plandome Rd",
            "address_purpose": "LOCATION",
            "city": "Manhasset",
            "state": "NY",
            "postal_code": "110302303",
            "country_code": "US",
            "telephone_number": "518-610-1920",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GLICKMAN",
        "first_name": "KATHRYN",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-19",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schenectady, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2024; 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.