WELLNESS ROAD PSYCHOLOGY, PLLC
NPI 1639709439
Psychologist - Clinical in New York, NY

Active since January 21, 2020
140 BROADWAY # 4657, NEW YORK, NY 10005(646) 961-4973 Get Directions Write a Review

NPPES record last updated: January 21, 2020. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Wellness Road Psychology, Pllc NPPES

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

WELLNESS ROAD PSYCHOLOGY, PLLC (NPI 1639709439) is a healthcare organization registered as a clinical in New York, New York and active in the NPI registry since January 2020. The organization maintains a secondary practice location in Dobbs Ferry and lists Philip Glickman, Owner/psychologist, as its authorized official.

NPPES Registry Identity

NPI1639709439
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameWELLNESS ROAD PSYCHOLOGY, PLLC
Location Address140 BROADWAY # 4657New York, NY 10005-1108
Mailing Address15 N Eckar StIrvington, NY 10533-1510 · (914) 671-4860
Organization SubpartNo
Authorized OfficialPhilip GlickmanOwner/psychologist · (646) 961-4973
Enumeration DateJanuary 21, 2020
✔ NPI 1639709439 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
140 BROADWAY # 4657, New York, NY 10005

Secondary Practice Location 1

Location 1145 Palisade StDobbs Ferry, NY 10522-1617 · Phone (646) 961-4973

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

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

Counselor (Mental Health)
140 BROADWAY # 4657
NEW YORK, NY 10005
Counselor (Mental Health)
140 BROADWAY # 4657
NEW YORK, NY 10005
Counselor (Mental Health)
140 BROADWAY # 4657
NEW YORK, NY 10005
Psychologist (Clinical)
140 BROADWAY # 4657
NEW YORK, NY 10005

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 Wellness Road Psychology, PLLC's NPI number?

The NPI number for Wellness Road Psychology, PLLC is 1639709439. It was assigned to this organization in the NPPES registry on January 21, 2020.

Where is Wellness Road Psychology, PLLC located?

Wellness Road Psychology, PLLC is located at 140 Broadway # 4657, New York, NY 10005. The listed phone number is (646) 961-4973.

What is Wellness Road Psychology, PLLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Wellness Road Psychology, PLLC was last updated on January 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.