Alison Jean Glezen, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

3-1273 Issued in TX

Practice address

3011 Hood St
Suite 101
Dallas, TX 75219-4926

Phone

(469) 235-2484

Fax

(214) 771-0593

NPI assigned

May 27, 2006

Sex

Female

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 1

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Clinical Psychologist

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Psy-Med, Inc.Group PAC ID 5092863662, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Psy-Med, Inc.

  • Health Psychologist
  • Dallas, TX
  • NPI 1881842102
  Medicare reassignment Care Compare group NPD
• Grant-Moore Center for Behavioral Health, Inc.

  • Professional Counselor
  • Kilgore, TX
  • NPI 1134206519
  NPD (past)
• Pinkerman & Gonzalez Psychological

  • Clinical Psychologist
  • Edinburg, TX
  • NPI 1841388030
  NPD (past)

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375660800000",
    "number": "1669429494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3011 HOOD ST",
            "address_2": "SUITE 101",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752194926",
            "telephone_number": "469-235-2484",
            "fax_number": "214-771-0593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3011 HOOD ST",
            "address_2": "SUITE 101",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752194926",
            "telephone_number": "469-235-2484",
            "fax_number": "214-771-0593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLEZEN",
        "first_name": "ALISON",
        "middle_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-27",
        "last_updated": "2013-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "3-1273",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0410888-07",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathy Adams Glenn, MS RD LD
• Sarah Glenn
• Spencer Joseph Glenn
• Victor Clark Glenn, D.D.S.
• Glew PLLC
• Margaret Glick, MD
• Michael Glick, EDD
• Gerald N Glickman, DDS, MS
• Shelbi Lin Glidewell
• Glimmer of Hope Behavioral Health Services PLLC

• Clinical Psychologist in Dallas, TX
• Providers in Dallas, TX by specialty
• Clinical Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.