DR. GLEN C JICKLING M.D.
NPI 1194160242
Psychiatry & Neurology - Neurology in Sacramento, CA

Q: What is Glen Jickling's NPI number?

The NPI number for Glen Jickling is 1194160242. It was assigned to this individual provider in the NPPES registry on May 2, 2013.

Q: What is Glen Jickling's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Q: When was this NPI record last updated?

The NPPES record for Glen Jickling was last updated on May 2, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 02, 2013

2805 50TH ST, RM 2415, MIND INSTITUTE, UNIVERSITY OF CALIFORNIA DAVIS, SACRAMENTO, CA 95817(916) 703-0449 Get Directions Write a Review

NPPES record last updated: May 2, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Glen C Jickling M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. GLEN C JICKLING M.D. (NPI 1194160242) is an individual neurology provider in Sacramento, California, licensed in California (A104529) and active in the NPI registry since May 2013.

NPPES Registry Identity

NPI1194160242

Entity TypeIndividualMale

Primary Taxonomy2084N0400X

Provider Legal NameDR. GLEN C JICKLINGCredential: M.D.

Location Address2805 50TH ST, RM 2415, MIND INSTITUTE, UNIVERSITY OF CALIFORNIA DAVISSacramento, CA 95817-2312

Mailing Address2805 50th St, Rm 2415, Mind Institute, University Of California DavisSacramento, CA 95817-2312 · (916) 703-0449

Phone(916) 703-0449

Sole ProprietorNo

Enumeration DateMay 2, 2013

✔ NPI 1194160242 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084N0400X

License✔ Licensed in CA · A104529

Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

2805 50TH ST, Sacramento, CA 95817

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Glen Jickling's NPI number?

The NPI number for Glen Jickling is 1194160242. It was assigned to this individual provider in the NPPES registry on May 2, 2013.

Where is Glen Jickling located?

Glen Jickling practices at 2805 50th St Rm 2415, Mind Institute, University Of California Davis, Sacramento, CA 95817. The listed phone number is (916) 703-0449.

What is Glen Jickling's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

When was this NPI record last updated?

The NPPES record for Glen Jickling was last updated on May 2, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.