Active NPI
Adam L. Glushakow, MD
- Psychiatry Physician
- Wilmington, DE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- C10010714
- Practice address
- 501 West 14TH Street, Wilmington Hospital
Department of Psychiatry
Wilmington, DE 19801 - Phone
- (302) 428-2100
- Fax
- (302) 428-2121
- NPI assigned
- Mar 21, 2007
- Last updated
- Dec 17, 2013
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MD439272 | PA | |
| Psychiatry Physician | 2084P0800X | C10010714 | DE | Primary |
Addresses
Primary practice location
501 West 14TH Street, Wilmington Hospital
Department of Psychiatry
Wilmington, DE 19801
Mailing address
200 Hygeia Drive
Suite 2300
Newark, DE 19713
Other names 1
- Dr. Adam L. Glushakow
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C10010714 | DE | MD | Psychiatry Physician |
| MD439272 | PA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Main Line Healthcare | Current | Accepting new patients | |
| Christiana Care Health Services, Inc | Past | Accepting new patients | |
| Christiana Care Health Services Inc | Past | Accepting new patients |
Locations
1991 Sproul Rd
Ste 625
Broomall, PA 19008
Phone (484) 421-1669
255 W Lancaster Ave
Paoli, PA 19301
Phone (484) 337-4286
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/5c7467fb-60f9-4172-add4-57667a5dfcfa/
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- NPI 1326022476
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dba CCHS Cardiac Services
- Cardiovascular Disease Physician
- Newark, DE
- NPI 1003850504
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1387238400000",
"number": "1942325451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 HYGEIA DRIVE",
"address_2": "SUITE 2300",
"city": "NEWARK",
"state": "DE",
"postal_code": "19713"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 WEST 14TH STREET, WILMINGTON HOSPITAL",
"address_2": "DEPARTMENT OF PSYCHIATRY",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "19801",
"telephone_number": "302-428-2100",
"fax_number": "302-428-2121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLUSHAKOW",
"first_name": "ADAM",
"middle_name": "L.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-21",
"last_updated": "2013-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "PA",
"license": "MD439272",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "DE",
"license": "C10010714",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ADAM",
"last_name": "GLUSHAKOW",
"middle_name": "L.",
"prefix": "DR.",
"credential": "M.D.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Wilmington, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.