DR. TANYA CHRISTINA GLUZERMAN (PSY.D.) – Clinical Psychologist, NPI 1417215831

DR. TANYA CHRISTINA GLUZERMAN (PSY.D.) is a healthcare provider. based in Saint charles, Illinois. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PSY.D.. They hold a License No. 071008307 (IL). The NPI Number for DR. TANYA CHRISTINA GLUZERMAN (PSY.D.) is 1417215831

Main info

Female
Sole Proprietor
22 Years Of Experience
Accepts Medicare Assignment
Name
DR. TANYA CHRISTINA GLUZERMAN (PSY.D.)
NPI
1417215831
Phone
(708) 404-0589
Address
3381 W MAIN ST
Enumeration Date
24 April 2012
Last Update Date
24 April 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6305496497
Graduation Year
2004 (22 years ago)
PAC ID
8628302163
Group Practice PAC ID
1254665847
Professional Enrollment ID
I20190703000017
Address ID
IL601757631SA40XXXRDXX401
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:14State licenses:1Digital endpointsOther names

1,600 CLINICAL PSYCHOLOGIST in IL

Provider Addresses for DR. TANYA CHRISTINA GLUZERMAN (PSY.D.)

  • 3381 W MAIN ST

    SUITE 1

    SAINT CHARLES, IL 601751008

    Phone: (708) 404-0589

    Fax: (630) 377-7802

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-07-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190703000017IClinical PsychologistILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60175)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1254665847View full group profile
NameSpecialtyState
Clinical PsychologistIL
Clinical PsychologistIL

Reviews

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Frequently asked questions

What unique ID ties claims to DR. TANYA CHRISTINA GLUZERMAN (PSY.D.)?
NPI 1417215831 is assigned to DR. TANYA CHRISTINA GLUZERMAN (PSY.D.) under the national enumeration system.
Is DR. TANYA CHRISTINA GLUZERMAN (PSY.D.)'s NPI currently valid?
The extract we use shows DR. TANYA CHRISTINA GLUZERMAN (PSY.D.) as active.
What field does DR. TANYA CHRISTINA GLUZERMAN (PSY.D.) work in?
You can think of DR. TANYA CHRISTINA GLUZERMAN (PSY.D.) as practicing within Clinical Psychologist. Clinical services aligned with this taxonomy classification.
Where is DR. TANYA CHRISTINA GLUZERMAN (PSY.D.)'s primary listing?
We display Saint Charles, Illinois because that is what the record indicates for DR. TANYA CHRISTINA GLUZERMAN (PSY.D.).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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