Individual provider Active NPI

Adam L. Glushakow, MD

  • Psychiatry Physician
  • Wilmington, DE
National Provider Identifier
1942325451
Registry record updated Dec 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
C10010714 Issued in DE
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, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 17, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Professional name

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

LicenseStateTypeSpecialty
C10010714DEMDPsychiatry Physician
MD439272PAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Main Line Healthcare CurrentSince Oct 15, 2012 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

  • FHIR API: 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.

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.

Verify at the official NPI Registry.