Individual provider Active NPI

Miles E Glazer, PSY.D

  • Psychologist
  • Palm Beach Gardens, FL
National Provider Identifier
1962564377
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY0004078 Issued in FL
Practice address
2401 Pga Blvd Ste 244
Palm Beach Gardens, FL 33410-3515
Phone
(561) 627-4247
Fax
(561) 627-4265
NPI assigned
Dec 14, 2006
Sex
Male
Sole proprietor
Yes

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 PY0004078 FL Primary

Addresses

Primary practice location

2401 Pga Blvd Ste 244
Palm Beach Gardens, FL 33410-3515

Mailing address

2401 Pga Blvd Ste 244
Palm Beach Gardens, FL 33410-3515
Phone (561) 627-4247

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jan 1, 2015 through Jan 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PY0004078FLMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Philip Jay Scharfer, MD, PA Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: mglazer19876@jupitermedicalcenter.direct-ci.com

Organizations & group practices 1

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": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962564377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 PGA BLVD STE 244",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334103515",
            "telephone_number": "561-627-4247",
            "fax_number": "561-627-4265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 PGA BLVD STE 244",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334103515",
            "telephone_number": "561-627-4247",
            "fax_number": "561-627-4265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLAZER",
        "first_name": "MILES",
        "middle_name": "E",
        "credential": "PSY.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY0004078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

Verify at the official NPI Registry.