DR. GLEN C BOLTON PSY.D.
NPI 1255191698
Psychologist in Scott Air Force Base, IL

Active since March 21, 2024
310 W LOSEY ST, SCOTT AIR FORCE BASE, IL 62225(618) 256-7386 Get Directions Write a Review

NPPES record last updated: September 9, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Glen C Bolton Psy.d. NPPES

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

DR. GLEN C BOLTON PSY.D. (NPI 1255191698) is an individual psychologist in Scott Air Force Base, Illinois and active in the NPI registry since March 2024.

NPPES Registry Identity

NPI1255191698
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. GLEN C BOLTONCredential: PSY.D.
Location Address310 W LOSEY STScott Air Force Base, IL 62225-5250
Mailing Address310 W Losey StScott Air Force Base, IL 62225-5250 · (618) 256-7386
Sole ProprietorNo
Enumeration DateMarch 21, 2024
Last NPPES UpdateSeptember 9, 2025
NPPES CertifiedSeptember 9, 2025
NPI 1255191698 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

310 W LOSEY ST, Scott Air Force Base, IL 62225

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
310 W LOSEY ST
SCOTT AFB, IL 62225
Specialist
310 W LOSEY ST
SCOTT AFB, IL 62225
Nurse Practitioner (Women's Health)
310 W LOSEY ST
SCOTT AFB, IL 62225
Dentist (General Practice)
310 W LOSEY ST
SCOTT AFB, IL 62225
Podiatrist (Foot & Ankle Surgery)
310 W LOSEY ST
SCOTT AFB, IL 62225
Social Worker (Clinical)
310 W LOSEY ST
SCOTT AFB, IL 62225
Social Worker (Clinical)
310 W LOSEY ST, 375 MDOS/SHOHF
SCOTT AIR FORCE BASE, IL 62225
Dentist (Endodontics)
310 W LOSEY ST, 375 DENTAL SQUADRON
SCOTT AFB, IL 62225

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 Bolton's NPI number?

The NPI number for Glen Bolton is 1255191698. It was assigned to this individual provider in the NPPES registry on March 21, 2024.

Where is Glen Bolton located?

Glen Bolton practices at 310 W Losey St, Scott Air Force Base, IL 62225. The listed phone number is (618) 256-7386.

What is Glen Bolton's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

When was this NPI record last updated?

The NPPES record for Glen Bolton was last updated on September 9, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.