LISA DOREEN GLUKHOVSKY PHD
NPI 1720602519
Clinical Neuropsychologist in Carmel, NY

Q: What is Lisa Glukhovsky's NPI number?

The NPI number for Lisa Glukhovsky is 1720602519. It was assigned to this individual provider in the NPPES registry on June 8, 2020.

Q: What is Lisa Glukhovsky's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Glukhovsky was last updated on June 8, 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.

Active since June 08, 2020PECOS Enrolled

667 STONELEIGH AVE STE 202, CARMEL, NY 10512(845) 279-5908 Get Directions Write a Review

NPPES record last updated: June 8, 2020. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Lisa Doreen Glukhovsky Phd NPPES

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

LISA DOREEN GLUKHOVSKY PHD (NPI 1720602519) is an individual clinical neuropsychologist in Carmel, New York, licensed in New York (023423) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Port Chester, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1720602519

Entity TypeIndividualFemale

Primary Taxonomy103G00000X

Provider Legal NameLISA DOREEN GLUKHOVSKYCredential: PHD

Location Address667 STONELEIGH AVE STE 202Carmel, NY 10512-2455

Mailing Address667 Stoneleigh Ave Ste 202Carmel, NY 10512-2455 · (845) 279-5908

Phone(845) 279-5908

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateJune 8, 2020

NPPES CertifiedJune 8, 2020

✔ NPI 1720602519 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers

Taxonomy Code103G00000X

License✔ Licensed in NY · 023423

Definition

A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.

Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License 023423 (NY)

667 STONELEIGH AVE STE 202, Carmel, NY 10512

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Secondary Practice Location 1

Location 110 Pearl StPort Chester, NY 10573-4611 · Phone (845) 279-5908

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lisa Doreen Glukhovsky Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1850718974

PECOS Enrollment IDI20200903000199

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.

Other Providers at the Same Location NPPES 20

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

MR. ANTHONY SHEPPARD LMSW

Social Worker