Individual provider Active NPI

Glenn Charles Motola, PSY.D.

  • Psychologist
  • Encinitas, CA
National Provider Identifier
1598448235
Registry record updated Aug 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
34301 Issued in CA
Practice address
162 S Rancho Santa Fe Rd Ste F50
Encinitas, CA 92024-6334
Phone
(415) 497-3369
NPI assigned
Aug 9, 2023
Last updated
Aug 9, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X 34301 CA Primary

Addresses

Primary practice location

162 S Rancho Santa Fe Rd Ste F50
Encinitas, CA 92024-6334

Mailing address

162 S Rancho Santa Fe Rd Ste F50
Encinitas, CA 92024-6334
Phone (415) 497-3369

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
34301CAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Glenmar Psychological Services PC Single Specialty CurrentSince Sep 17, 2023 Accepting new patients

Locations

162 S Rancho Santa Fe Rd
Ste F50
Encinitas, CA 92024
Phone (415) 497-3369

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": "1691539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691539200000",
    "number": "1598448235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "162 S RANCHO SANTA FE RD STE F50",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920246334",
            "telephone_number": "415-497-3369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "162 S RANCHO SANTA FE RD STE F50",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920246334",
            "telephone_number": "415-497-3369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOTOLA",
        "first_name": "GLENN",
        "middle_name": "CHARLES",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-08-09",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "CA",
            "license": "34301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encinitas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2023; 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.