Active NPI
Sherman R. Glenn, LMFT
- Marriage & Family Therapist
- Turlock, CA
National Provider Identifier
1104845213
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC17827
- Practice address
- 911 E Tuolumne Rd
Turlock, CA 95382-1543 - Phone
- (209) 668-4101
- Fax
- (209) 668-3758
- NPI assigned
- Jul 19, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFC17827 | CA | Primary |
Addresses
Primary practice location
911 E Tuolumne Rd
Turlock, CA 95382-1543
Mailing address
911 E Tuolumne Rd
Turlock, CA 95382-1543
Phone (209) 668-4101
Other names 1
- Mr. Sherman R. Glenn
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240701002495 | CA | Practitioner - Marriage and Family Therapist | 7214471259 | Practice locations: Turlock, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Marriage and Family Therapist
- Education
- Other, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
911 E Tuolumne Rd
Turlock, CA 95382-1543
Phone (209) 571-0003
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFC17827 | CA | MD | Marriage & Family Therapist |
| 17827 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1104845213",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "911 E TUOLUMNE RD",
"city": "TURLOCK",
"state": "CA",
"postal_code": "953821543",
"telephone_number": "209-668-4101",
"fax_number": "209-668-3758"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "911 E TUOLUMNE RD",
"city": "TURLOCK",
"state": "CA",
"postal_code": "953821543",
"telephone_number": "209-668-4101",
"fax_number": "209-668-3758"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLENN",
"first_name": "SHERMAN",
"middle_name": "R.",
"name_prefix": "Mr.",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC17827",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SHERMAN",
"last_name": "GLENN",
"middle_name": "R.",
"prefix": "MR.",
"credential": "LMFT",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Turlock, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.