Individual provider Active NPI

Charles D. Glass, PH.D.

  • Psychologist
  • Denver, CO
National Provider Identifier
1265425565
Registry record updated Jun 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
3088 Issued in CO
Practice address
1777 S Bellaire St Ste 160
Denver, CO 80222-4314
Phone
(303) 893-0112
Fax
(303) 496-1111
NPI assigned
Aug 23, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 3088 CO
Psychologist 103T00000X 3088 CO Primary

Addresses

Primary practice location

1777 S Bellaire St Ste 160
Denver, CO 80222-4314

Mailing address

PO Box 103159
Denver, CO 80250-3159
Phone (970) 485-9931

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091117000085 CO Practitioner - Clinical Psychologist 0941101638 Practice locations: Avon, CO; Breckenridge, CO; Denver, CO

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1777 S Bellaire St
Suite 160
Denver, CO 80222-4314
Phone (303) 893-0112

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
3088COMDProfessional Counselor
3008COMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Charles D. Glass, PH.D., LLC Clinical Current Accepting new patients
Charles D Glass Psychologist Past Accepting new patients

Locations

1777 S Bellaire St
Ste 160
Denver, CO 80222
Phone (303) 893-0112

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1124755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780444800000",
    "number": "1265425565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 103159",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802503159",
            "telephone_number": "970-485-9931",
            "fax_number": "303-496-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1777 S BELLAIRE ST STE 160",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802224314",
            "telephone_number": "303-893-0112",
            "fax_number": "303-496-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLASS",
        "first_name": "CHARLES",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-23",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "3088",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CO",
            "license": "3088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.