Individual provider Active NPI

Glenn Joseph Bricken, PSY.D.

  • Clinical Psychologist
  • The Woodlands, TX
National Provider Identifier
1821067380
Registry record updated Feb 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
24595 Issued in TX
Practice address
25810 Oak Ridge Dr
The Woodlands, TX 77380-2016
Phone
(281) 364-0067
Fax
(281) 364-0712
NPI assigned
Mar 16, 2006
Last updated
Feb 20, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 16836 TX
Clinical Psychologist 103TC0700X 24595 TX Primary

Addresses

Primary practice location

25810 Oak Ridge Dr
The Woodlands, TX 77380-2016

Mailing address

25810 Oak Ridge Dr
The Woodlands, TX 77380-2016
Phone (281) 364-0067

Other identifiers 3

IdentifierTypeStateIssuer
098942801MedicaidTX
680003046OtherTXRAILROAD MEDICARE PIN
81527POtherTXBCBSTX PIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, FL, AL, NE, IN, GA, OH, KY, CO, OK, AZ11 enrollments
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 11

Enrollment IDStateProvider typePAC IDDetails
I20131108000659 TX Practitioner - Clinical Psychologist 7517947120 Reassigns benefits to 1 organization
I20240105000245 FL Practitioner - Clinical Psychologist 7517947120 Reassigns benefits to 1 organization
I20240307003171 AL Practitioner - Clinical Psychologist 7517947120 Reassigns benefits to 1 organization
I20240329002548 NE Practitioner - Clinical Psychologist 7517947120 Reassigns benefits to 1 organization
I20240412000579 IN Practitioner - Clinical Psychologist 7517947120 Reassigns benefits to 1 organization
I20240429002899 GA Practitioner - Clinical Psychologist 7517947120 Reassigns benefits to 1 organization
I20240522003236 OH Practitioner - Clinical Psychologist 7517947120 Reassigns benefits to 1 organization
I20240522004081 KY Practitioner - Clinical Psychologist 7517947120 Reassigns benefits to 1 organization
I20240523002147 CO Practitioner - Clinical Psychologist 7517947120 Reassigns benefits to 1 organization
I20250204001448 OK Practitioner - Clinical Psychologist 7517947120 Reassigns benefits to 1 organization
I20250324003707 AZ Practitioner - Clinical Psychologist 7517947120 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dr Glenn J Bricken and Assoc P CGroup PAC ID 8426038027, 8 clinicians

Practice addresses (Care Compare)

13340 California St
Suite 101
Omaha, NE 68154-5255
Phone (281) 364-0067

1830 N Bernard Cir
Mesa, AZ 85207-4377
Phone (281) 364-0067

2002 12TH Ave NW
Suite B
Ardmore, OK 73401-1206
Phone (281) 364-0067

2300 Manchester Expressway
Suite 006
Columbus, GA 31904
Phone (281) 364-0067

25810 Oak Ridge Dr
The Woodlands, TX 77380-2016
Phone (281) 364-0067

455 S Landmark Ave
Bloomington, IN 47403-5004
Phone (281) 364-0067

5040 Forest Dr
Suite 240
New Albany, OH 43054-8166
Phone (281) 364-0067

5175 Italia CT
Ave Maria, FL 34142-9614
Phone (281) 364-0067

602 Cameron CT
Auburn, AL 36830-2997
Phone (281) 364-0067

6025 Delmonico Dr
Colorado Springs, CO 80919-2251
Phone (281) 364-0067

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16836TXMDDentist
24595TXMDDentist
16836ALMDPharmacist
16836KYMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Glenn J Bricken & Assoc P C Clinical CurrentSince Oct 13, 1992 Accepting new patients
CPRC Holding LLC PastSince Feb 18, 2024 Accepting new patients
CPRC Holdings LLC PastSince Feb 18, 2024 Accepting new patients

Locations

6025 Delmonico Dr
Colorado Springs, CO 80919
Phone (719) 535-0648

2300 Manchester Expy
Ste 6
Columbus, GA 31904

455 S Landmark Ave
Bloomington, IN 47403
Phone (812) 269-7674

6801 Dixie Hwy
Ste 135
Louisville, KY 40258
Phone (502) 791-8700

13340 California St
Ste 101
Omaha, NE 68154
Phone (402) 614-1999

5040 Forest Dr
Ste 240
New Albany, OH 43054
Phone 7406532500 ext. 32500

2002 12th Ave NW
Ste B
Ardmore, OK 73401
Phone (580) 221-2022

25810 Oak Ridge Dr
The Woodlands, TX 77380
Phone (281) 419-9669

Networks

  • Freedom Health HMO Network

Organizations & group practices 3

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": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708387200000",
    "number": "1821067380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25810 OAK RIDGE DR",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773802016",
            "telephone_number": "281-364-0067",
            "fax_number": "281-364-0712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25810 OAK RIDGE DR",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773802016",
            "telephone_number": "281-364-0067",
            "fax_number": "281-364-0712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRICKEN",
        "first_name": "GLENN",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-16",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "16836",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "24595",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "098942801",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PIN",
            "identifier": "680003046",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTX PIN",
            "identifier": "81527P",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in The Woodlands, TX

Sources for this page

Verify at the official NPI Registry.