DR. JAMES A. R. GLYNN (PSYD) – Clinical Psychologist, NPI 1083967418

DR. JAMES A. R. GLYNN (PSYD) is a healthcare provider. based in Lincoln park, New Jersey. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PSYD. They hold a License No. 020502 (NY). The NPI Number for DR. JAMES A. R. GLYNN (PSYD) is 1083967418

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
DR. JAMES A. R. GLYNN (PSYD)
NPI
1083967418
Phone
(973) 696-0800
Address
63 BEAVERBROOK RD
Enumeration Date
23 October 2012
Last Update Date
2 June 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9736960800
Graduation Year
2012 (14 years ago)
PAC ID
4284852658
Group Practice PAC ID
9335686195
Professional Enrollment ID
I20140826002293
Address ID
NJ070351750LI61XXXRDXX301
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:13State licenses:2Digital endpointsOther names

963 CLINICAL PSYCHOLOGIST in NJ

Provider Addresses for DR. JAMES A. R. GLYNN (PSYD)

  • 63 BEAVERBROOK RD

    SUITE 102

    LINCOLN PARK, NJ 070351440

    Phone: (973) 696-0800

    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: 2014-08-26

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
I20140826002293IClinical PsychologistNJTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
96137Administration of psychological or neuropsychological test, each additional 30 minutes188185$0
96131Evaluation of psychological test, each additional hour187185$0
90791Psychiatric diagnostic evaluation186185$0
96130Evaluation of psychological test, first hour186185$0
96136Administration of psychological or neuropsychological test, first 30 minutes186185$0
View full utilization report →

Insurance plans in this area (ZIP 07035)

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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: 9335686195View full group profile
NameSpecialtyState
Clinical PsychologistNJ
Clinical Social WorkerNJ
Clinical Social WorkerNJ
Clinical Social WorkerNJ
Clinical Social WorkerNJ
Marriage And Family TherapistNJ
Clinical Social WorkerNJ
Clinical Social WorkerNJ
Clinical Social WorkerNJ

Reviews

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Frequently asked questions

What number should I use to identify DR. JAMES A. R. GLYNN (PSYD) for billing?
Administrative and clinical systems typically use NPI 1083967418 for DR. JAMES A. R. GLYNN (PSYD).
Is DR. JAMES A. R. GLYNN (PSYD) currently accepting referrals based on NPI status?
Registry metadata lists DR. JAMES A. R. GLYNN (PSYD) as active.
Which specialty label fits DR. JAMES A. R. GLYNN (PSYD)?
NPPES ties DR. JAMES A. R. GLYNN (PSYD) to Clinical Psychologist in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to DR. JAMES A. R. GLYNN (PSYD)?
The directory associates DR. JAMES A. R. GLYNN (PSYD) with Lincoln Park, New Jersey. Check all listed addresses for suites or satellite offices.
Can I export DR. JAMES A. R. GLYNN (PSYD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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