JAN S GLICK (NPI# 1336189893) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336189893 |
| Entity Type | Individual |
| Full Name | JAN S GLICK |
| Credential | CCC-A |
| Practice Address |
514 E Woolbright Rd Boynton Beach FL 33435-6033 |
| Mailing Address |
149 Plantation Ridge Dr Ste 140 Mooresville NC 28117-9175 |
| Practice Telephone | 5614349944 |
| Mailing Telephone | 7042300007 |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2020-01-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | AY1405 | FL | Speech, Language and Hearing Service Providers |
| N | 231H00000X | Audiologist | A01525 | OH | Speech, Language and Hearing Service Providers |
| N | 231H00000X | Audiologist | 1601000072 | MI | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 804700455 | 05 | |
| MI | 904547880 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6380 W Indiantown Rd Ste 14, Jupiter, FL 334587979 | 5617817811 |
| Street Address |
514 E WOOLBRIGHT RD |
| City | BOYNTON BEACH |
| State | FL |
| Zip Code | 33435-6033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619381662 | Vanessa Musto | Audiologist | 514 E Woolbright Rd, Boynton Beach, FL 33435 | 2014-06-18 |
| 1013048479 | Barry A. Frankel & Associates, Pa | Optometrist | 514 E Woolbright Rd, Boynton Beach, FL 33435-6033 | 2007-03-08 |
| 1013932193 | Richard J Cohen | Optometrist | 514 E Woolbright Rd, Boynton Beach, FL 33435-6033 | 2006-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649824186 | Sarah Gostich | Podiatrist | 2815 S Searest Blvd, Boynton Beach, FL 33435 | 2019-08-01 |
| 1104487768 | Amira Nabil Halim Ibrahim | Student in an Organized Health Care Education/Training Program | Florida Atlantic University Medicine-bethesda Hospital, 2623 S Seacrest Blvd, Boynton Beach, FL 33435 | 2019-06-25 |
| 1972064491 | Elizabeth Anita Calhoun | Emergency Medicine | Bethesda Hospital East, 2815 S. Seacrest Blvd., Boynton Beach, FL 33435 | 2019-03-27 |
| 1164983086 | Thomas Rex Peterson | Emergency Medicine | Fau Emergency Medicine, Bethesda Hospital East, Attn: Joanne Daly, 2815 S. Seacrest Blvd., Boynton Beach, FL 33435 | 2019-03-26 |
| 1033686068 | Valery L. Petit-homme | Behavior Technician | 515 Se 20th Ave, Apt 10a, Boynton Beach, FL 33435 | 2018-10-29 |
| 1104391648 | Summit Detox | Psychiatry & Neurology | 3330 S. Federal Highway, 3rd Floor, Boynton Beach, FL 33435 | 2018-10-11 |
| 1184120008 | Zachariah Hatoum | Student in an Organized Health Care Education/Training Program | 2815 South Seacrest Blvd., Gme Suite Lower Level B, Boynton Beach, FL 33435 | 2018-03-30 |
| 1922503135 | Anneka Mariesha Hutton | Student in an Organized Health Care Education/Training Program | 2623 South Seacrest Boulevard, Florida Atlantic University Medicine At Bethesda Hospit, Boynton Beach, FL 33435 | 2018-03-28 |
| 1477079473 | Benezon LLC | Case Management | 609 Manatee Bay Drive, Boynton Beach, FL 33435 | 2017-08-21 |
| 1750814091 | Maria Mijares | Student in an Organized Health Care Education/Training Program | 2623 South Seacrest Blvd., Suite 100, Fau Medicine At Bhe, Boynton Beach, FL 33435 | 2017-04-04 |
| Find all providers in zip 33435 | ||||
| Taxonomy Code | 231H00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Audiologist |
| (1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master’s degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy. |
| Notes: Source: (1) American Speech-Language-Hearing Association, (1996, Spring) Scope of practice in Audiology, p. 2 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861882185 | Judy Gastwirth-masone | Audiologist | 2 Westgate Ln, Unit B, Boynton Beach, FL 33436-6393 | 2015-01-26 |
| 1174856314 | Robin L Bender | Audiologist | 123 N Congress Ave # A, Boynton Beach, FL 33426-5118 | 2009-09-04 |
| 1467699033 | Brandy Pouliot | Audiologist | 7593 W Boynton Beach Blvd, Suite 160, Boynton Beach, FL 33437-6154 | 2009-01-19 |
| 1235139882 | Steven D. Sederholm | Audiologist | 11135 S Jog Rd, Suite #2, Boynton Beach, FL 33437-1807 | 2005-07-26 |
| 1639686769 | Palm Beach Hearing Associates, Pllc | Audiologist | 2240 W Woolbright Rd, Suite 342, Boynton Beach, FL 33426 | 2018-01-10 |
| 1952830564 | Sara Chaya Korman | Audiologist | 1800 W Woolbright Rd Ste 201, Boynton Beach, FL 33426-6398 | 2017-06-07 |
| 1982052536 | Yunet Holmes | Audiologist | 1800 W Woolbright Rd, Suite 201, Boynton Beach, FL 33426-6398 | 2016-05-24 |
| 1538531124 | Erin Sember | Audiologist | 1800 W Woolbright Rd, Suite 201, Boynton Beach, FL 33426-6398 | 2015-10-22 |
| 1619381662 | Vanessa Musto | Audiologist | 514 E Woolbright Rd, Boynton Beach, FL 33435 | 2014-06-18 |
| 1659706422 | Daniela Robin Helitzer | Audiologist | 1800 W Woolbright Rd, Suite 201, Boynton Beach, FL 33426-6398 | 2013-09-11 |
| Find all providers in BOYNTON BEACH | ||||
| City | BOYNTON BEACH |
| Zip Code | 33435 |
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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.