Individual provider Active NPI

Glynda Annette Thume, PH.D

  • Clinical Psychologist
  • Woodland Hills, CA
National Provider Identifier
1528138799
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY14893 Issued in CA
Practice address
23123 Ventura Blvd
207
Woodland Hills, CA 91364-1104
Phone
(818) 712-9886
Fax
(818) 712-9886
NPI assigned
Nov 8, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY14893 CA Primary

Addresses

Primary practice location

23123 Ventura Blvd
207
Woodland Hills, CA 91364-1104

Mailing address

22108 Londelius St
West Hills, CA 91304-1358
Phone (818) 515-3993

Other identifiers 1

IdentifierTypeStateIssuer
PSY148930OtherCAMEDI-CAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Psychological Services of Glynda Thume PHD, Inc Clinical CurrentSince May 22, 2013 Accepting new patients

Locations

3032 Rowena Ave
Los Angeles, CA 90039
Phone (323) 665-1185

23123 Ventura Blvd
Ste 208
Woodland Hills, CA 91364
Phone (818) 515-3993

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1528138799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22108 LONDELIUS ST",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913041358",
            "telephone_number": "818-515-3993",
            "fax_number": "818-712-9886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23123 VENTURA BLVD",
            "address_2": "207",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913641104",
            "telephone_number": "818-712-9886",
            "fax_number": "818-712-9886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THUME",
        "first_name": "GLYNDA",
        "middle_name": "ANNETTE",
        "name_prefix": "Dr.",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY14893",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL",
            "identifier": "PSY148930",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland Hills, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.