AMY GLICK LMFT
NPI 1992503734
Marriage & Family Therapist in Berkeley, CA

Q: What is Amy Glick's NPI number?

The NPI number for Amy Glick is 1992503734. It was assigned to this individual provider in the NPPES registry on March 6, 2025.

Q: What is Amy Glick's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: Is Amy Glick enrolled in Medicare?

No. Amy Glick has opted out of Medicare through March 8, 2027. 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 Amy Glick was last updated on March 6, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 06, 2025Opted out of Medicare · through Mar 8, 2027

2232 CARLETON ST, BERKELEY, CA 94704(510) 220-5043 Get Directions Write a Review

NPPES record last updated: March 6, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Amy Glick Lmft NPPES

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

AMY GLICK LMFT (NPI 1992503734) is an individual marriage & family therapist in Berkeley, California, licensed in California (LMFT39516) and active in the NPI registry since March 2025. She has opted out of Medicare through March 8, 2027.

NPPES Registry Identity

NPI1992503734

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameAMY GLICKCredential: LMFT

Location Address2232 CARLETON STBerkeley, CA 94704-3225

Mailing Address2232 Carleton StBerkeley, CA 94704-3225 · (510) 220-5043

Phone(510) 220-5043

Sole ProprietorYes

Enumeration DateMarch 6, 2025

NPPES CertifiedMarch 6, 2025

✔ NPI 1992503734 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in CA · LMFT39516

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

2232 CARLETON ST, Berkeley, CA 94704

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Amy Glick Lmft 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 March 8, 2025 through March 8, 2027.

Opt-Out Effective DateMarch 8, 2025

Opt-Out In Effect ThroughMarch 8, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 17

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

DR. DONALD H STANFORD M.D.

Psychiatry & Neurology (Psychiatry)