Scott Douglas Glass, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

P0000001161 Issued in TN

Practice address

6025 Brookvale LN Ste 205
Knoxville, TN 37919-4031

Phone

(865) 310-1396

NPI assigned

Sep 20, 2006

Last updated

Mar 12, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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

• Micheal J Klitzke

  • Clinical Neuropsychologist
  • Knoxville, TN
  • NPI 1831363126
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773273600000",
    "number": "1376641852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6025 BROOKVALE LN STE 205",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379194031",
            "telephone_number": "865-310-1396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6025 BROOKVALE LN STE 205",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379194031",
            "telephone_number": "865-310-1396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLASS",
        "first_name": "SCOTT",
        "middle_name": "DOUGLAS",
        "name_prefix": "Mr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2026-03-12",
        "certification_date": "2026-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TN",
            "license": "P0000001161",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA BEHAVIORAL HEALTH",
            "identifier": "16588",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARITEN HEALTHCARE",
            "identifier": "702005698",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "132694000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIME PROVIDERS SYSTEM IN",
            "identifier": "847",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "000087870",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3684203",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Colby Lee Gladson, CRNA
• Juliet Gladson, NP
• Regina Glamore, BCBA, LBA
• Jeffrey Alan Glasgow, APRN
• Amy Bradshaw Glass, CRNA
• Sharon Elaine Glass, M.D.
• Herbert J Glatt, M.D.
• Jonathan Brett Gleason, LPC
• Margaret Efflena Gleason, REGISTERED NURSE
• James Everett Gleaves Jr., MD

• Clinical Psychologist in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Clinical Psychologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.