| Dr Glenn Richard Powers, PHD | |
|
521 N 10th Ave # 220, Caldwell, ID 83605-2925 | |
| (208) 810-3945 | |
| Not Available |
| Full Name | Dr Glenn Richard Powers |
|---|---|
| Gender | Male |
| Speciality | Clinical Psychologist |
| Experience | 33 Years |
| Location | 521 N 10th Ave # 220, Caldwell, Idaho |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194782789 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PSY19347 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Tubi Connect Inc. | 3971933318 | 3 |
| Entity Name | Mellow Medical Inc A Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407275886 PECOS PAC ID: 3375767403 Enrollment ID: O20140611002222 |
| Entity Name | Collaborative Psychology Group A Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336532340 PECOS PAC ID: 9436494671 Enrollment ID: O20181217002672 |
| Entity Name | Tubi Connect Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659919140 PECOS PAC ID: 3971933318 Enrollment ID: O20200501000323 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Glenn Richard Powers, PHD 521 N 10th Ave # 220, Caldwell, ID 83605-2925 Ph: (208) 810-3945 | Dr Glenn Richard Powers, PHD 521 N 10th Ave # 220, Caldwell, ID 83605-2925 Ph: (208) 810-3945 |
Leigh Sharma, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4521 Thomas Jefferson St, Caldwell, ID 83605 Phone: 208-454-4831 | |
Phares L Book, PSY.D,LPC Psychologist Medicare: May Accept Medicare Assignments Practice Location: 815 Fillmore St, Caldwell, ID 83605 Phone: 208-459-6962 Fax: 208-459-4476 | |
Dr. Leighton Jerry Cunningham, PH.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 107 S Kimball Ave, Suite 240, Caldwell, ID 83605 Phone: 208-454-1229 | |
Dr. Julie Ann Parsons, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 305 E Logan, Caldwell, ID 83605 Phone: 208-454-1855 Fax: 208-459-3012 |