Healthcare Provider Details

I. General information

NPI: 1225950314
Provider Name (Legal Business Name): SARA GLASER PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/29/2026
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

199 WELLS AVE STE 102
NEWTON CENTRE MA
02459-3320
US

IV. Provider business mailing address

199 WELLS AVE STE 102
NEWTON CENTRE MA
02459-3320
US

V. Phone/Fax

Practice location:
  • Phone: 617-564-1540
  • Fax:
Mailing address:
  • Phone: 617-564-1540
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: