Individual provider Active NPI

Stephen Glassberg, M.D.

  • Psychiatry Physician
  • New York, NY
National Provider Identifier
1932212149
Registry record updated Feb 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
108901 Issued in NY
Practice address
200 W 57TH St Ste 905
New York, NY 10019-3219
Phone
(917) 854-6040
NPI assigned
Aug 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 108901 NY Primary

Addresses

Primary practice location

200 W 57TH St Ste 905
New York, NY 10019-3219

Mailing address

500A Grand St Apt 3D
New York, NY 10002-4123
Phone (917) 854-6040

Other practice location 1

200 W 57th St Ste 503
New York, NY 10019-3211
Phone (917) 854-6040

Other practice location 2

500A Grand St Apt 3D
New York, NY 10002-4123
Phone (917) 854-6040

Other identifiers 1

IdentifierTypeStateIssuer
01598407MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040706000063 NY Practitioner - Psychiatry 0648257915 Reassigns benefits to 1 organization
Practice locations: New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1970
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

200 W 57TH St
Suite 905
New York, NY 10019-3228
Phone (917) 854-6040

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
108901NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Icahn School of Medicine at Mount Sinai CurrentSince Apr 8, 2017 Accepting new patients
Icahn School of Medicine at Mount Sinai Psychiatry CurrentSince Apr 8, 2017 Accepting new patients
Icahn School of Medicine at Mount Sinai Current Accepting new patients
SLR Psychiatric Associates Past Accepting new patients

Locations

200 W 57th St
Ste 503
New York, NY 10019
Phone (212) 307-9730

1000 10th Ave
New York, NY 10019
Phone (212) 523-2369

1090 Amsterdam Ave
Fl 13
New York, NY 10025
Phone (212) 523-1876

1090 Amsterdam Ave
Ste 16C
New York, NY 10025
Phone (212) 636-1303

1090 Amsterdam Ave
New York, NY 10025
Phone (212) 523-2211

200 W 57th St
Ste 905
New York, NY 10019
Phone (212) 581-7206

10 Union Sq E
New York, NY 10003
Phone (212) 253-6800

Organizations & group practices 4

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": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771459200000",
    "number": "1932212149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500A GRAND ST APT 3D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100024123",
            "telephone_number": "917-854-6040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W 57TH ST STE 905",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100193219",
            "telephone_number": "917-854-6040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 W 57th St Ste 503",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100193211",
            "country_code": "US",
            "telephone_number": "917-854-6040",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500A Grand St Apt 3D",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100024123",
            "country_code": "US",
            "telephone_number": "917-854-6040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GLASSBERG",
        "first_name": "STEPHEN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-15",
        "last_updated": "2026-02-19",
        "certification_date": "2026-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "108901",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01598407",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.