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GLENN FLEISCH PH.D., MFT
NPI 1568549251
Marriage & Family Therapist in Vallejo, CA

Active since November 01, 2006Opted out of Medicare · through Jun 20, 2027
526 TENNESSEE ST, VALLEJO, CA 94590(707) 644-5421(530) 622-2793 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Glenn Fleisch Ph.d., Mft NPPES

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

GLENN FLEISCH PH.D., MFT (NPI 1568549251) is an individual marriage & family therapist in Vallejo, California, licensed in California (MFC12608) and active in the NPI registry since November 2006. He has opted out of Medicare through June 20, 2027.

NPPES Registry Identity

NPI1568549251
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameGLENN FLEISCHCredential: PH.D., MFT
Location Address526 TENNESSEE STVallejo, CA 94590-4431
Mailing Address526 Tennessee StVallejo, CA 94590-4431 · (707) 644-5421 · Fax (530) 622-2793
Phone(707) 644-5421
Fax(530) 622-2793
Sole ProprietorYes
Enumeration DateNovember 1, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1568549251 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · MFC12608
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
526 TENNESSEE ST, Vallejo, CA 94590
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Glenn Fleisch Ph.d., Mft has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 20, 2025 through June 20, 2027.

Opt-Out Effective DateJune 20, 2025
Opt-Out In Effect ThroughJune 20, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 2

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

DR. DIAN R ALLEN PH.D., LMFT
Marriage & Family Therapist
526 TENNESSEE ST
VALLEJO, CA 94590
Solano County (707) 331-8551
MS. NOVELLA LEIMBERG L.AC.
Acupuncturist
526 TENNESSEE ST
VALLEJO, CA 94590
Solano County (530) 965-3512

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 Glenn Fleisch's NPI number?

The NPI number for Glenn Fleisch is 1568549251. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Where is Glenn Fleisch located?

Glenn Fleisch practices at 526 Tennessee St, Vallejo, CA 94590. The listed phone number is (707) 644-5421.

What is Glenn Fleisch's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Glenn Fleisch enrolled in Medicare?

No. Glenn Fleisch has opted out of Medicare through June 20, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Glenn Fleisch was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.