MR. THEODORE E GLACKMAN (NPI# 1447497854) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447497854 |
| Entity Type | Individual |
| Full Name | MR. THEODORE E GLACKMAN |
| Credential | M.ED. |
| Practice Address |
100 S Broad St 17th Floor Philadelphia PA 19110-1023 |
| Mailing Address |
517 E Spring Ave Ardmore PA 19003-3123 |
| Practice Telephone | 2674749417 |
| Mailing Telephone | 2157011560 |
| Mailing Fax Number | 2157011572 |
| Enumeration Date | 2009-01-07 |
| Last Update Date | 2009-01-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | PS004176L | PA | Behavioral Health & Social Service Providers |
| Street Address |
100 S BROAD ST 17TH FLOOR |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19110-1023 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750380994 | Margaret Adamucci | Counselor | 100 S Broad St, Suite 1309, Philadelphia, PA 19110-1023 | 2005-07-19 |
| 1639421266 | Weinerman Pain & Wellness | General Practice | 100 S Broad St, Suite 1800b, Philadelphia, PA 19110-1023 | 2012-10-05 |
| 1124393681 | Center City Psychology, PC | Psychologist | 100 S Broad St, Suite 1215, Philadelphia, PA 19110-1023 | 2012-03-16 |
| 1568741668 | Deborah B. Dilazzero | Psychologist | 100 S Broad St, Suite 1215, Philadelphia, PA 19110-1023 | 2011-08-08 |
| 1356639603 | Kelly Ann Nabal | Psychologist | 100 S Broad St, 17th Floor, Philadelphia, PA 19110-1023 | 2011-07-20 |
| 1720376635 | Kimberly Lynn Hoffman | Psychologist | 100 S Broad St, Suite 1215, Philadelphia, PA 19110-1023 | 2011-07-12 |
| 1831488766 | Weinerman Pain and Wellness, LLC | Clinic/Center | 100 S Broad St, Suite 1800-b, Philadelphia, PA 19110-1023 | 2011-03-31 |
| 1518260678 | Ana Maria Hagstrand | Psychologist | 100 S Broad St, Suite 1215, Philadelphia, PA 19110-1023 | 2010-12-13 |
| 1851606115 | Women Against Abuse, Inc | Community/Behavioral Health | 100 S Broad St, Suite 1341, Philadelphia, PA 19110-1023 | 2010-08-11 |
| 1164684718 | David Bromberg | Psychologist | 100 S Broad St, Suite 1700, Philadelphia, PA 19110-1023 | 2008-06-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518332543 | Thomas Fredrick Haworth | Psychologist | 100 South Broad St, Suite 1700, Philadelphia, PA 19110 | 2015-12-02 |
| 1588076178 | Hanel Ariel Choi | Dentist | 100 S. Broad St. Suite 1530, Philadelphia, PA 19110 | 2014-05-29 |
| 1104093004 | Erin Hadley | Psychologist | 100 S. Broad St., Suite 915, Philadelphia, PA 19110 | 2008-05-11 |
| 1407053846 | Kimberly Davis | Chiropractor | 100 S Broad Street, Suite 1800b, Philadelphia, PA 19110 | 2007-06-29 |
| 1023177144 | Joseph J. Peters Institute | Community/Behavioral Health | 100 South Broad Street, 17th Floor, Philadelphia, PA 19110 | 2006-12-06 |
| 1366997223 | Jenna Courtney Rosenau | Social Worker | 100 S Broad Street, Suite 1920, Philadelphia, PA 19110 | 2016-08-22 |
| 1578921359 | Tri-state Sport and Spine, Pllc | Chiropractor | 100 South Broad Street, 1800, Philadelphia, PA 19110 | 2016-02-08 |
| 1164802708 | Jordan Levy | Social Worker | 100 S. Broad Street, Suite 1515, Philadelphia, PA 19110 | 2015-06-08 |
| 1528485828 | Boston Medical Group Pennsylvania, P.C. | Urology | 100 S. Broad Street, Suite 2136, Philadelphia, PA 19110 | 2014-03-25 |
| 1821434788 | Kathleen Fragale | Physical Therapist | 100 S Broad Street, Suite 1800b, Philadelphia, PA 19110 | 2013-05-20 |
| Find all providers in zip 19110 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
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| 1912518226 | Karen Dybner-madero | Psychologist | 2201 Pennsylvania Avenue, The Parkway House, Suite 101, Philadelphia, PA 19130 | 2020-08-11 |
| 1659980621 | Corinne Masur | Psychologist | 1601 Walnut St Ste 1408, Philadelphia, PA 19102-2909 | 2020-07-27 |
| 1730798067 | Amanda Marie Large | Psychologist | 1516 N 5th St Unit 401, Philadelphia, PA 19122-3679 | 2020-07-22 |
| 1295355543 | Jennifer Ann Engelhardt | Psychologist | 8201 Henry Ave Apt Q15, Philadelphia, PA 19128-2248 | 2020-04-16 |
| 1336778315 | Carly Mirit Gerbi | Psychologist | 2227 Delancey Pl, Philadelphia, PA 19103-6549 | 2020-04-02 |
| 1811530512 | Tower Drexel Academic Medical Group LLC | Psychologist | 1427 Vine St Fl 1, Philadelphia, PA 19102-1031 | 2019-10-25 |
| 1003459702 | Tower Drexel Academic Medical Group LLC | Psychologist | 4700 Wissahickon Ave Ste C102, Philadelphia, PA 19144-4248 | 2019-10-25 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19110 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.