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DR. JACOB DRAULT GLICKMAN PSYD, MA, LPC
NPI 1689089229
Psychologist - Clinical in Philadelphia, PA

Active since June 23, 2014
4441 SANSOM ST, PHILADELPHIA, PA 19104(267) 223-7931 Get Directions Write a Review

NPPES record last updated: September 26, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 6, 2025, Aug 16, 2024, Jul 18, 2023 (3 updates tracked since 2023).

About Dr. Jacob Drault Glickman Psyd, Ma, Lpc NPPES

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

DR. JACOB DRAULT GLICKMAN PSYD, MA, LPC (NPI 1689089229) is an individual clinical provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (PS019712) and active in the NPI registry since June 2014.

NPPES Registry Identity

NPI1689089229
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. JACOB DRAULT GLICKMANCredential: PSYD, MA, LPC
Location Address4441 SANSOM STPhiladelphia, PA 19104-2915
Mailing Address4441 Sansom StPhiladelphia, PA 19104-2915 · (267) 223-7931 · Fax (267) 247-3030
Phone(267) 223-7931
Sole ProprietorYes
Enumeration DateJune 23, 2014
Last NPPES UpdateSeptember 26, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 26, 2025
✔ NPI 1689089229 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in PA · PS019712
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 ListedCounselor · ProfessionalTaxonomy 101YP2500X · License PC011819 (PA)
4441 SANSOM ST, Philadelphia, PA 19104
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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 Jacob Glickman's NPI number?

The NPI number for Jacob Glickman is 1689089229. It was assigned to this individual provider in the NPPES registry on June 23, 2014.

Where is Jacob Glickman located?

Jacob Glickman practices at 4441 Sansom St, Philadelphia, PA 19104. The listed phone number is (267) 223-7931.

What is Jacob Glickman'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 Jacob Glickman was last updated on September 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.