DR. ALISSA R GLICKMAN (NPI# 1275684193) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275684193 |
| Entity Type | Individual |
| Full Name | DR. ALISSA R GLICKMAN |
| Credential | PH.D. |
| Practice Address |
80 Barclay Ct Suite 4 Cherry Hill NJ 08034 |
| Mailing Address |
80 Barclay Center Suite 4 Cherry Hill NJ 08034 |
| Practice Telephone | 8566699122 |
| Mailing Telephone | 8566699122 |
| Mailing Fax Number | 8665635311 |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2020-07-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 4383 | NJ | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0131911 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 42 E Laurel Rd, Udp 1100, Stratford, NJ 080841354 | 8565667036 | 8565666108 |
| Street Address |
80 BARCLAY CT SUITE 4 |
| City | CHERRY HILL |
| State | NJ |
| Zip Code | 08034 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821606054 | Glickman Psychological Services, LLC | Psychologist | 80 Barclay Center, Suite 4, Cherry Hill, NJ 08034 | 2020-07-14 |
| 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 |
| Find all providers in zip 08034 | ||||
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932416922 | Assurance Behavioral Health, PC | Psychologist | 102 Browning Ln Ste C, Cherry Hill, NJ 08003-3195 | 2010-09-12 |
| 1275772089 | Kimberly Lauren Groves | Psychologist | 385 Kings Hwy N, Cherry Hill, NJ 08034-1013 | 2009-02-18 |
| 1396903563 | Audubon Psychological Services L.L.C. | Psychologist | 1101 N. Kings Highway, Suite 303, Cherry Hill, NJ 08034-3214 | 2008-05-23 |
| 1457412876 | Ronald Steven Gruen | Psychologist | 1236 Brace Rd, Ste D, Cherry Hill, NJ 08034-3229 | 2006-12-12 |
| 1629175708 | Puig Associates, P.a. | Psychologist | 1060 Kings Hwy N Ste 311, Cherry Hill, NJ 08034-1910 | 2006-09-20 |
| 1043226970 | Linda L Stevenson | Psychologist | 496 N Kings Hwy, #223, Cherry Hill, NJ 08034 | 2006-07-31 |
| 1134140783 | Gary Jeffrey Kushner | Psychologist | 1930 Marlton Pike E Ste X116, Cherry Hill, NJ 08003-4214 | 2006-07-21 |
| 1497772206 | Bernard Hershenberg | Psychologist | 1874 Route 70 E, Suite 4, Cherry Hill, NJ 08003-2037 | 2006-07-16 |
| 1205816907 | John M. Uveges | Psychologist | 380 Wayland Rd, Cherry Hill, NJ 08034-2755 | 2006-01-19 |
| 1881695013 | Mark Rader | Psychologist | 501 Kings Hwy N, Cherry Hill, NJ 08034-1503 | 2005-08-10 |
| Find all providers in CHERRY HILL | ||||
| City | CHERRY HILL |
| Zip Code | 08034 |
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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.