DR. LYDIA S. GLASS PH.D. NPI 1518179035

NPI Information

  • NPI: 1518179035
  • Provider Name: DR. LYDIA S. GLASS, PH.D.
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 200 E. DEL MAR BLVD.
    SUITE 210
    PASADENA, CA
    ZIP 91105
  • Phone: (626) 792-4153

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NPI Details

DR. Lydia S. Glass, PH.D. is a mental health counselor in Pasadena, CA with 39 years of experience. DR. Lydia S. Glass, PH.D. NPI is 1518179035. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

200 E. DEL MAR BLVD.
SUITE 210
PASADENA, CA
ZIP 91105
Phone: (626) 792-4153
Fax: (626) 930-0626

The NPI 1518179035 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 5/4/2007 and was last updated on 1/13/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthPSY13464CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1R16694MEDICARE UPINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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