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Provider Profile

Glenn Sample, PsyD

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At a glance

About Dr. Sample

Listed in the NPI registry as a clinical psychologist, Glenn Sample, PsyD practices in Rockford, IL. Glenn is also listed as specializing in professional counselor and psychologist — clinical. NPI 1881915270 identifies this record in the national registry.

Factual summary compiled by Guide.md from public records; not written by this provider.

Education & Training

School Other Graduated: 2013

Specialty

Credentials & Licensing

IL licenceAs reported to the NPI registry
No. 178010086As reported
IL licenceAs reported to the NPI registry
No. 180010078As reported
IL licenceAs reported to the NPI registry
No. 071009666As reported
CA licenceAs reported to the NPI registry
No. 30340As reported
NPINational Provider Identifier
1881915270Issued 2010

As reported to the NPI registry ↗

Medicare information

Accepts Medicare assignmentSometimes (reported per claim)
Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What is Glenn Sample's specialty?

Glenn Sample is a clinical psychologist in Rockford, IL. That is the designation recorded for this NPI in the federal registry.

NPI registry

Where can I find Glenn Sample?

Glenn Sample is listed at 1643 N Alpine Rd Ste 104-609, Rockford, IL 61107. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

How do I contact Glenn Sample?

The number on file is (773) 245-3449. Contact the office directly to confirm availability and scheduling.

NPI registry

What is Glenn Sample's NPI number?

Glenn Sample's National Provider Identifier is 1881915270. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

What is Glenn Sample's education?

Glenn Sample attended Other, graduating in 2013. This comes from the CMS National Downloadable File.

CMS public data

How long has Glenn Sample been practicing?

Glenn Sample has 13 years experience. Calculated from a graduation year of 2013, reported in the CMS National Downloadable File.

CMS public data

Has Glenn Sample confirmed this information?

Not yet. This profile is built from public federal data and has not been confirmed by Glenn Sample. If this is you, claiming it is free.

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