MEDICARE: WELLNESS WAY PSYCHOLOGY PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	101Y00000X	Counselor
2	101YA0400X	Addiction (Substance Use Disorder) Counselor
3	101YM0800X	Mental Health Counselor
4	101YP2500X	Professional Counselor
5	104100000X	Social Worker
6	1041C0700X	Clinical Social Worker
7	103T00000X	Psychologist

General Provider Information

NPI Number	:	1407699416
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WELLNESS WAY PSYCHOLOGY PLLC

Provider Business Mailing Address
First Line	:	60 E 42ND ST FL 40
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10165-0048
Country	:	US
Telephone Number	:	914-671-4860
Fax Number	:

Provider Business Practice Location Address
First Line	:	60 E 42ND ST FL 40
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10165-0048
Country	:	US
Telephone Number	:	914-671-4860
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	PHILIP GLICKMAN
Credential	:
Telephone Number	:	914-671-4860

Provider Enumeration Date	:	06/17/2024
Last Update Date	:	06/17/2024

Similar Medicare Providers

1104869965 — HTI PHYSICIAN SERVICES OF UTAH INC
Practice Location Address:

112 S PLYMOUTH STREET
NEW PLYMOUTH, ID
83655-0048

Practice Phone: 208-278-3406
Practice Fax:

1669609244 — TERRI LYNN SCHLARB LPN
Practice Location Address:

3929 CENTER STREET
NEW HAVEN, OH
44850-0048

Practice Phone: 419-964-0590
Practice Fax:

1932299872 — DR. JOEL MARK DDS
Practice Location Address:

60 E 42ND ST , 1521
NEW YORK, NY
10165-0006

Practice Phone: 212-697-1094
Practice Fax: 212-682-5469

1023177227 — MAGED F ISKAROS DDS
Practice Location Address:

60 EAST 42ND STREET
NEW YORK, NY
10165

Practice Phone: 212-557-7711
Practice Fax: 212-557-7832

1831221407 — DR. KRISTINE T. KINGSLEY PSY.D.
Practice Location Address:

60 E 42ND ST , SUITE 4600
NEW YORK, NY
10165-0006

Practice Phone: 917-716-6995
Practice Fax:

1093848624 — PROSTHODONTIC ASSOCIATES OF NY, PC
Practice Location Address:

60 E 42ND ST , SUITE 1656
NEW YORK, NY
10165-0006

Practice Phone: 212-986-4839
Practice Fax: 212-986-4927

Directions to “WELLNESS WAY PSYCHOLOGY PLLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.