Active NPI
Ann Judith Gluck, PSY.D.
- Clinical Psychologist
- Bryn Mawr, PA
National Provider Identifier
1922212208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PS-005505-L
- Practice address
- 26 Summit Grove Ave
Suite 209
Bryn Mawr, PA 19010-3230 - Phone
- (215) 576-7776
- NPI assigned
- May 9, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PS-005505-L | PA | Primary |
Addresses
Primary practice location
26 Summit Grove Ave
Suite 209
Bryn Mawr, PA 19010-3230
Mailing address
502 Lindley Rd
Glenside, PA 19038-2802
Phone (215) 576-7776
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 |
|---|---|---|---|
| PS-005505-L | PA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1922212208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "502 LINDLEY RD",
"city": "GLENSIDE",
"state": "PA",
"postal_code": "190382802",
"telephone_number": "215-576-7776"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26 SUMMIT GROVE AVE",
"address_2": "SUITE 209",
"city": "BRYN MAWR",
"state": "PA",
"postal_code": "190103230",
"telephone_number": "215-576-7776"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLUCK",
"first_name": "ANN",
"middle_name": "JUDITH",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PA",
"license": "PS-005505-L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bryn Mawr, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.