Active NPI
Dr Glenn J Bricken & Assoc P C
- Clinical Psychologist
- The Woodlands, TX
National Provider Identifier
1528088077
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Legal business name
- DR GLENN J BRICKEN & ASSOC P C
- Practice address
- 25810 Oak Ridge Dr
The Woodlands, TX 77380-2016 - Phone
- (281) 364-0067
- Fax
- (281) 364-0712
- NPI assigned
- Jul 20, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Glenn Joseph Bricken, PSY.D.
- Title
- President
- Phone
- (281) 364-0067
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | |||
| Clinical Psychologist | 103TC0700X | Primary |
Addresses
Primary practice location
25810 Oak Ridge Dr
The Woodlands, TX 77380-2016
Mailing address
25810 Oak Ridge Dr
The Woodlands, TX 77380-2016
Phone (281) 364-0067
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CI6064 | Other | TX | RAILROAD MEDICARE PIN |
| 084856601 | Medicaid | TX | |
| 00R65R | Other | TX | BCBSTX PIN |
Other names 1
- BRICKEN AND ASSOCIATES
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, FL, AL, NE, GA, IN, KY, CO, OH, AZ, OK
Enrollment records 11
National Provider Directory
National Provider DirectoryLocations
2300 Manchester Expy
Ste 6
Columbus, GA 31904
6801 Dixie Hwy
Ste 135
Louisville, KY 40258
Phone (502) 791-8700
25810 Oak Ridge Dr
The Woodlands, TX 77380
Phone (281) 419-9669
Practitioners & affiliated clinicians
Practitioners 16
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1699228800000",
"number": "1528088077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25810 OAK RIDGE DR",
"city": "THE WOODLANDS",
"state": "TX",
"postal_code": "773802016",
"telephone_number": "281-364-0067",
"fax_number": "281-364-0712"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25810 OAK RIDGE DR",
"city": "THE WOODLANDS",
"state": "TX",
"postal_code": "773802016",
"telephone_number": "281-364-0067",
"fax_number": "281-364-0712"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR GLENN J BRICKEN & ASSOC P C",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-20",
"last_updated": "2023-11-06",
"certification_date": "2023-11-06",
"status": "A",
"authorized_official_last_name": "BRICKEN",
"authorized_official_first_name": "GLENN",
"authorized_official_middle_name": "JOSEPH",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "281-364-0067",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PSY.D."
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Clinical Neuropsychologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE PIN",
"identifier": "CI6064",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "084856601",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSTX PIN",
"identifier": "00R65R",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "BRICKEN AND ASSOCIATES",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "BRICKEN AND ASSOCIATES",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in The Woodlands, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.