Individual provider Active NPI

Caryn Elizabeth Glosch, PH.D.

  • Clinical Psychologist
  • Mountain Home, TN
National Provider Identifier
1720337991
Registry record updated Sep 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6932 Issued in OH
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, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2012

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140616001137 TX Practitioner - Clinical Psychologist 1951525823 Reassigns benefits to 5 organizations

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
Care Neurodegenerative Medical of New York PCGroup PAC ID 7618329475, 14 clinicians
Carend Provider Group PAGroup PAC ID 2264827518, 26 clinicians
Carend Provider Group of Kansas PAGroup PAC ID 2961843198, 8 clinicians

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

LicenseStateTypeSpecialty
6932OHMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Care Neurodegenerative Medical of New York PC CurrentSince Aug 28, 2025 Accepting new patients
Carend Provider Group of Kansas PA CurrentSince Jun 15, 2025 Accepting new patients
Baylor College of Medicine CurrentSince Aug 1, 2014 Accepting new patients
Baylor College of Medicine CurrentSince Aug 1, 2014 Accepting new patients
Carend Provider Group PA CurrentSince Dec 10, 2024 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.

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

Verify at the official NPI Registry.