Active NPI
Caryn Elizabeth Glosch, PH.D.
- Clinical Psychologist
- Mountain Home, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6932
- Practice address
- Sidney and Lamont
James H. Quillen VA Medical Center
Mountain Home, TN 37684 - Phone
- (423) 926-1171
- NPI assigned
- Sep 4, 2012
- Last updated
- Sep 4, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 6932 | OH | Primary |
Addresses
Primary practice location
Sidney and Lamont
James H. Quillen VA Medical Center
Mountain Home, TN 37684
Mailing address
3312 Aberdeen Rd
Shaker Heights, OH 44120-3328
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
Houston, TX 77005
Phone (708) 630-1534
Houston, TX 77035
Phone (708) 630-1534
5831 McKnight St
Houston, TX 77035-2423
Phone (708) 630-1534
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6932 | OH | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Care Neurodegenerative Medical of New York PC | Current | Accepting new patients | |
| Carend Provider Group of Kansas PA | Current | Accepting new patients | |
| Baylor College of Medicine | Current | Accepting new patients | |
| Baylor College of Medicine | Current | Accepting new patients | |
| Carend Provider Group PA | Current | Accepting new patients |
Locations
2045 W Grand Ave
Ste B
Chicago, IL 60612
Phone (800) 827-7437
2 Greenway Plz
Ste 900
Houston, TX 77046
Phone (713) 798-1835
7200 Cambridge St
Fl 1
Houston, TX 77030
Phone (713) 798-3924
Organizations & group practices 6
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.
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TX
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- NPI 1700683844
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346716800000",
"number": "1720337991",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3312 ABERDEEN RD",
"city": "SHAKER HEIGHTS",
"state": "OH",
"postal_code": "441203328"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "SIDNEY AND LAMONT",
"address_2": "JAMES H. QUILLEN VA MEDICAL CENTER",
"city": "MOUNTAIN HOME",
"state": "TN",
"postal_code": "37684",
"telephone_number": "423-926-1171"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLOSCH",
"first_name": "CARYN",
"middle_name": "ELIZABETH",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-04",
"last_updated": "2012-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "OH",
"license": "6932",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mountain Home, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2012; 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.