THOMAS MANCHESTER GLENNON (NPI# 1508972522) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508972522 |
| Entity Type | Individual |
| Full Name | THOMAS MANCHESTER GLENNON |
| Credential | PHD |
| Practice Address |
12725 Ventura Blvd Suite K Studio City CA 91604-2437 |
| Practice Telephone | 8187632745 |
| Practice Fax Number | 8187636876 |
| Mailing Telephone | 8187632745 |
| Mailing Fax Number | 8187636876 |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 103T00000X | Psychologist | PSY10326 | CA | Behavioral Health & Social Service Providers |
| X | 103TC0700X |
Psychologist Specialization: Clinical |
PSY10326 | CA | Behavioral Health & Social Service Providers |
| X | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
PSY10326 | CA | Behavioral Health & Social Service Providers |
| Street Address |
12725 VENTURA BLVD SUITE K |
| City | STUDIO CITY |
| State | CA |
| Zip Code | 91604-2437 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063436459 | Stephen J. Howard | Psychologist | 12725 Ventura Blvd, Studio City, CA 91604-2437 | 2006-07-27 |
| 1952653966 | Rita Bazeley | Marriage & Family Therapist | 12725 Ventura Blvd, Suite G, Studio City, CA 91604-2437 | 2012-10-15 |
| 1881998557 | Nancy Kaser-boyd | Psychologist | 12725 Ventura Blvd, Suite K, Studio City, CA 91604-2437 | 2011-01-10 |
| 1447410824 | June Mary Rosena | Marriage & Family Therapist | 12725 Ventura Blvd, Suite K, Studio City, CA 91604 | 2008-06-10 |
| 1508902982 | Richard William Kalaba | Marriage & Family Therapist | 12725 Ventura Blvd, Suite K, Studio City, CA 91604 | 2007-01-30 |
| 1841207495 | Alfredo E Crespo | Psychologist | 12725 Ventura Blvd, Suite K, Studio City, CA 91604 | 2006-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154971745 | Natalie M Maddison | Developmental Therapist | 4397 Tujunga Ave, Studio City, CA 91604 | 2019-09-16 |
| 1134774441 | Elizabeth Anne Wells | Social Worker | 4512 St. Clair Ave., Studio City, CA 91604 | 2019-08-04 |
| 1740751262 | Luminita Elena Docan | Counselor | 12456 Laurel Terrace Dr, #1, Studio City, CA 91604 | 2018-12-10 |
| 1568981041 | Lost Sheep, LLC | Substance Abuse Rehabilitation Facility | 4198 Sunswept Drive, Los Angeles, CA 91604 | 2017-09-15 |
| 1376072652 | Ambursd Medical Transportation Inc. | Non-emergency Medical Transport (VAN) | 11012 Ventura Blvd Suite # H, Studio City, CA 91604 | 2017-06-08 |
| 1134502784 | Stephen Earl Genender | Plastic Surgery | 3293 Wrightwood Dr., Studio City, CA 91604 | 2015-07-01 |
| 1306277298 | Dr. Ike, Inc. | Pharmacy | 11738 Ventura Blvd., Studio City, CA 91604 | 2013-12-03 |
| 1770916769 | Jon-paul Gamboa | Behavioral Analyst | 121754 Ventura Blvd., Ste D, Studio City, CA 91604 | 2013-08-14 |
| 1518308568 | Alexis Anne Prescott | Counselor | 11712 Moorpark St Ste 211, Studio City, CA 91604 | 2013-07-07 |
| 1154764157 | Peter Joseph Vogelsang | Internal Medicine | 11623 Dona Alicia Place, Studio City, CA 91604 | 2013-04-10 |
| Find all providers in zip 91604 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093259715 | Jaclyn Zeccola | Psychologist | 11712 Moorpark St Ste 204b, Studio City, CA 91604-2158 | 2016-12-14 |
| 1033584818 | Paula Thomson | Psychologist | 4160 Bakman Ave, Studio City, CA 91602-3319 | 2015-12-05 |
| 1679861967 | Robin Amy Gans | Psychologist | 4257 Lemp Ave, Studio City, CA 91604-2812 | 2011-07-20 |
| 1740590439 | Lynne Friedman-gell | Psychologist | 13263 Ventura Blvd Ste 11, Studio City, CA 91604-1839 | 2010-10-14 |
| 1568791275 | Melissa M. Lewis | Psychologist | 12400 Ventura Blvd # 8, Studio City, CA 91604-2406 | 2009-12-09 |
| 1972770899 | Neda Safvati | Psychologist | 12522 Moorpark St Ste 106, Studio City, CA 91604-1355 | 2008-05-09 |
| 1114079126 | George Jacob Lough II | Psychologist | 12444 Ventura Blvd Ste 206, Studio City, CA 91604-2409 | 2007-01-18 |
| 1114002243 | Sandi J. Fischer | Psychologist | 12400 Ventura Blvd, Suite 230, Studio City, CA 91604-2406 | 2006-10-26 |
| 1013920610 | Peggy L Irwin | Psychologist | 3300 Fryman Road, Studio City, CA 91604 | 2006-08-14 |
| 1063436459 | Stephen J. Howard | Psychologist | 12725 Ventura Blvd, Studio City, CA 91604-2437 | 2006-07-27 |
| Find all providers in STUDIO CITY | ||||
| City | STUDIO CITY |
| Zip Code | 91604 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.