GLENN B SOBERMAN PHD
NPI 1821154469
Psychologist - Cognitive & Behavioral in New Paltz, NY

Q: What is Glenn Soberman's NPI number?

The NPI number for Glenn Soberman is 1821154469. It was assigned to this individual provider in the NPPES registry on December 28, 2006.

Q: What is Glenn Soberman's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Cognitive & Behavioral, with taxonomy code 103TB0200X.

Q: Is Glenn Soberman enrolled in Medicare?

No. Glenn Soberman has opted out of Medicare through September 1, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Glenn Soberman was last updated on February 18, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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 December 28, 2006Opted out of Medicare · through Sep 1, 2026

52 S MANHEIM BLVD, NEW PALTZ, NY 12561(845) 255-2443(845) 853-1547 Get Directions Write a Review

NPPES record last updated: February 18, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Glenn B Soberman Phd NPPES

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

GLENN B SOBERMAN PHD (NPI 1821154469) is an individual cognitive & behavioral provider in New Paltz, New York, licensed in New York (014273) and active in the NPI registry since December 2006. He has opted out of Medicare through September 1, 2026.

NPPES Registry Identity

NPI1821154469

Entity TypeIndividualMale

Primary Taxonomy103TB0200X

Provider Legal NameGLENN B SOBERMANCredential: PHD

Location Address52 S MANHEIM BLVDNew Paltz, NY 12561-2406

Mailing Address52 S Manheim BlvdNew Paltz, NY 12561-2406 · (845) 255-2443 · Fax (845) 853-1547

Phone(845) 255-2443

Fax(845) 853-1547

Sole ProprietorYes

Enumeration DateDecember 28, 2006

Last NPPES UpdateFebruary 18, 2015

✔ NPI 1821154469 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Cognitive & BehavioralBehavioral Health & Social Service Providers

Taxonomy Code103TB0200X

License✔ Licensed in NY · 014273

Definition

A psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking.

52 S MANHEIM BLVD, New Paltz, NY 12561

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Other Identifiers 3

Medicare ID-Type UnspecifiedVI8581NY

Medicaid02206384NY

Medicare PINV18581NY

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 B Soberman Phd 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 September 1, 2024 through September 1, 2026.

Opt-Out Effective DateSeptember 1, 2024

Opt-Out In Effect ThroughSeptember 1, 2026Opt-out affidavits renew automatically every two years unless cancelled

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837

Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.

192 services16 patients

Other Providers at the Same Location NPPES 5

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

CAROLYN FRIED SUTTON PSY.D.

Psychologist