SUSAN GLICK PHD
NPI 1649063470
Psychologist - Clinical in San Rafael, CA

Q: What is Susan Glick's NPI number?

The NPI number for Susan Glick is 1649063470. It was assigned to this individual provider in the NPPES registry on May 24, 2025.

Q: What is Susan Glick's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Susan Glick was last updated on May 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since May 24, 2025

1703 5TH AVE STE 304, SAN RAFAEL, CA 94901(510) 381-2984 Get Directions Write a Review

NPPES record last updated: May 24, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Susan Glick Phd NPPES

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

SUSAN GLICK PHD (NPI 1649063470) is an individual clinical provider in San Rafael, California, licensed in California (PSY18514) and active in the NPI registry since May 2025.

NPPES Registry Identity

NPI1649063470

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameSUSAN GLICKCredential: PHD

Location Address1703 5TH AVE STE 304San Rafael, CA 94901-1854

Mailing Address41 Bungalow AveSan Rafael, CA 94901-5140

Phone(510) 381-2984

Sole ProprietorYes

Enumeration DateMay 24, 2025

NPPES CertifiedMay 24, 2025

✔ NPI 1649063470 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in CA · PSY18514

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.

1703 5TH AVE STE 304, San Rafael, CA 94901

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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 Susan Glick's NPI number?

The NPI number for Susan Glick is 1649063470. It was assigned to this individual provider in the NPPES registry on May 24, 2025.

Where is Susan Glick located?

Susan Glick practices at 1703 5th Ave Ste 304, San Rafael, CA 94901. The listed phone number is (510) 381-2984.

What is Susan Glick'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 Susan Glick was last updated on May 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.