GLICKMAN PSYCHOLOGICAL SERVICES, LLC (NPI# 1821606054) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821606054 |
| Entity Type | Organization |
| Organization Name | GLICKMAN PSYCHOLOGICAL SERVICES, LLC |
| Practice Address |
80 Barclay Center Suite 4 Cherry Hill NJ 08034 |
| Mailing Address |
1906 Rolling Ln Cherry Hill NJ 08003-3328 |
| Practice Telephone | 8566699122 |
| Mailing Telephone | 2678793967 |
| Enumeration Date | 2020-07-14 |
| Last Update Date | 2020-07-14 |
| Authorized Official Name | DR. ALISSA R GLICKMAN (OWNER/PSYCHOLOGIST) |
| Authorized Official Telephone | 8566699122 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers |
| Street Address |
80 BARCLAY CENTER SUITE 4 |
| City | CHERRY HILL |
| State | NJ |
| Zip Code | 08034 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215455225 | Arc of Camden County Millhurst Supported Living | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 141 Hayes Mill Road, Apt 218, Cherry Hill, NJ 08034 | 2017-08-30 |
| 1144748120 | Arc of Camden County Chanticleer Drive Supported Living | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 712 Chanticleer Drive, Cherry Hill, NJ 08034 | 2017-08-30 |
| 1124558689 | 1 Choice Home Health Care, LLC | Home Health | 1409 E. Highway 70, Barclay Pavilion, Suite 207w, Cherry Hill, NJ 08034 | 2017-06-18 |
| 1205362621 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 405 Wayland Rd, Cherry Hill, NJ 08034 | 2017-05-04 |
| 1598291940 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 19 Brookdale Dr, Cherry Hill, NJ 08034 | 2017-05-04 |
| 1861928285 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 302 Portsmouth Rd, Cherry Hill, NJ 08034 | 2017-05-04 |
| 1265967954 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8 Farmhouse Ln, Maple Shade, NJ 08034 | 2017-05-01 |
| 1023543709 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 407 Cranford Rd, Cherry Hill, NJ 08034 | 2017-05-01 |
| 1588199269 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 21 Colgate Drive, Cherry Hill, NJ 08034 | 2017-05-01 |
| 1851826556 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 123 Iron Master Rd, Cherry Hill, NJ 08034 | 2017-05-01 |
| Find all providers in zip 08034 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447723614 | Genevieve Marmo Reich | Psychologist | 1050 Kings Hwy N Ste 107, Cherry Hill, NJ 08034-1909 | 2019-01-09 |
| 1730692179 | Sharon Toomey Kotch | Psychologist | 314 Society Hill Blvd, Cherry Hill, NJ 08003-2414 | 2017-11-07 |
| 1174077309 | Shoshana Klein | Psychologist | 1101 Kings Hwy N Ste 303, Cherry Hill, NJ 08034-1912 | 2016-08-04 |
| 1033512736 | Todd Koser | Psychologist | 1930 Marlton Pike E Ste J49, Cherry Hill, NJ 08003-4106 | 2014-10-08 |
| 1306185889 | Brighter Day Health LLC | Psychologist | 15 Birchwood Park Dr S, Cherry Hill, NJ 08003-1127 | 2013-02-04 |
| 1366720203 | Michael Natale | Psychologist | 111 Chestnut St Unit 106, Cherry Hill, NJ 08002-1842 | 2011-07-26 |
| 1679807531 | The Center for Emotional Health of Greater Philadelphia, LLC | Psychologist | 385 N Kings Hwy, Cherry Hill, NJ 08034-1013 | 2009-09-25 |
| 1861626442 | Scott Lee Poltrock | Psychologist | 1812 Haddonfield Berlin Rd, Cherry Hill, NJ 08003-3736 | 2009-05-11 |
| 1477769867 | Daniel Gottlieb | Psychologist | 1122 Winding Dr, Cherry Hill, NJ 08003-2731 | 2007-05-15 |
| 1669591442 | Thomas Grant Tudor | Psychologist | 121 Garfield Ave, Cherry Hill, NJ 08002-1022 | 2007-03-29 |
| Find all providers in CHERRY HILL | ||||
| City | CHERRY HILL |
| Zip Code | 08034 |
Please comment or provide details below to improve the information on GLICKMAN PSYCHOLOGICAL SERVICES, LLC.
| 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.