Individual provider Active NPI

Bette Diane Glickfield, PH.D.

  • Psychologist
  • West Bloomfield, MI
National Provider Identifier
1922079284
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
6301005241 Issued in MI
Practice address
5600 W Maple Rd
Suite D407
West Bloomfield, MI 48322-3704
Phone
(248) 865-0938
NPI assigned
Jan 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 6301005241 MI Primary

Addresses

Primary practice location

5600 W Maple Rd
Suite D407
West Bloomfield, MI 48322-3704

Mailing address

5600 W Maple Rd
Suite D407
West Bloomfield, MI 48322-3704
Phone (248) 865-0938

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20050328000975 MI Practitioner - Clinical Psychologist 4587610076 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
University of Detroit Mercy School of Dentistry, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

West Bloomfield, MI 48322
Phone (248) 851-2262

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6301005241MIMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Bette Glickfield PHD PLLC Psychologist CurrentSince Oct 14, 2024 Accepting new patients
Carol a. Roekle, M.D., P.C. Past Accepting new patients
Counseling Associates Inc Past Accepting new patients

Locations

5600 W Maple Rd
Ste D407
West Bloomfield, MI 48322
Phone (248) 851-2262

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": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922079284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5600 W MAPLE RD",
            "address_2": "SUITE D407",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223704",
            "telephone_number": "248-865-0938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5600 W MAPLE RD",
            "address_2": "SUITE D407",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223704",
            "telephone_number": "248-865-0938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLICKFIELD",
        "first_name": "BETTE",
        "middle_name": "DIANE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301005241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Bloomfield, MI

Sources for this page

Verify at the official NPI Registry.