DR. JONATHAN HARRY LIGHTER GLICKMAN PSY.D.
NPI 1033509674
Psychologist in Forest Hills, NY

Active since February 04, 2015PECOS Enrolled
11835 QUEENS BLVD STE 1630, FOREST HILLS, NY 11375(845) 279-5908(845) 622-3636 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 13, 2026, Apr 4, 2022, Jan 30, 2016 (3 updates tracked since 2016).

About Dr. Jonathan Harry Lighter Glickman Psy.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JONATHAN HARRY LIGHTER GLICKMAN PSY.D. (NPI 1033509674) is an individual psychologist in Forest Hills, New York, licensed in New York (024891) and active in the NPI registry since February 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1033509674
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. JONATHAN HARRY LIGHTER GLICKMANCredential: PSY.D.
Location Address11835 QUEENS BLVD STE 1630Forest Hills, NY 11375-7251
Mailing Address667 Stoneleigh Ave Ste 202Carmel, NY 10512-2455 · (845) 279-5908 · Fax (845) 622-5055
Fax(845) 622-3636
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateFebruary 4, 2015
Last NPPES UpdateJuly 13, 20263 updates tracked since enumeration
NPPES CertifiedJuly 13, 2026
✔ NPI 1033509674 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License✔ Licensed in NY · 024891
Definition
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.
11835 QUEENS BLVD STE 1630, Forest Hills, NY 11375

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jonathan Harry Lighter Glickman Psy.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4688139181
PECOS Enrollment IDI20260724000435
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Jonathan Glickman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Psychologist
667 STONELEIGH AVE STE 202
Carmel, NY 10512
  • Reassigned Medicare billing, New York enrollment
  • 296 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
11835 QUEENS BLVD STE 1630
FOREST HILLS, NY 11375
Nurse Practitioner (Psychiatric/Mental Health)
11835 QUEENS BLVD STE 1630
FOREST HILLS, NY 11375
Nurse Practitioner (Psychiatric/Mental Health)
11835 QUEENS BLVD STE 1630
FOREST HILLS, NY 11375
Counselor (Mental Health)
11835 QUEENS BLVD STE 1630
FOREST HILLS, NY 11375
Psychologist (Clinical)
11835 QUEENS BLVD STE 1630
FOREST HILLS, NY 11375
Counselor (Mental Health)
11835 QUEENS BLVD STE 1630
FOREST HILLS, NY 11375
Counselor (Mental Health)
11835 QUEENS BLVD STE 1630
FOREST HILLS, NY 11375
Psychiatry & Neurology (Psychiatry)
11835 QUEENS BLVD STE 1630
FOREST HILLS, NY 11375

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jonathan Glickman's NPI number?

The NPI number for Jonathan Glickman is 1033509674. It was assigned to this individual provider in the NPPES registry on February 4, 2015.

Where is Jonathan Glickman located?

Jonathan Glickman practices at 11835 Queens Blvd Ste 1630, Forest Hills, NY 11375. The listed phone number is (845) 279-5908.

What is Jonathan Glickman's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Jonathan Glickman enrolled in Medicare?

Yes. Jonathan Glickman is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jonathan Glickman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jonathan Glickman reassigns Medicare benefits to Carmel Psychological Health, PC (Carmel, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jonathan Glickman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jonathan Glickman was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.