THOMAS MANCHESTER GLENNON PHD
NPI 1508972522
Psychologist - Clinical Child & Adolescent in Studio City, CA

Q: What is Thomas Glennon's NPI number?

The NPI number for Thomas Glennon is 1508972522. It was assigned to this individual provider in the NPPES registry on August 22, 2006.

Q: What is Thomas Glennon's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Q: When was this NPI record last updated?

The NPPES record for Thomas Glennon was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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 August 22, 2006PECOS EnrolledAccepts Medicare Assignment

12725 VENTURA BLVD, SUITE K, STUDIO CITY, CA 91604(818) 763-2745(818) 763-6876 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Thomas Manchester Glennon Phd NPPES

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

THOMAS MANCHESTER GLENNON PHD (NPI 1508972522) is an individual clinical child & adolescent provider in Studio City, California, licensed in California (PSY10326) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1986).

NPPES Registry Identity

NPI1508972522

Entity TypeIndividualMale

Primary Taxonomy103TC2200X

Provider Legal NameTHOMAS MANCHESTER GLENNONCredential: PHD

Location Address12725 VENTURA BLVD, SUITE KStudio City, CA 91604-2437

Mailing Address12725 Ventura Blvd, Suite KStudio City, CA 91604-2437 · (818) 763-2745 · Fax (818) 763-6876

Phone(818) 763-2745

Fax(818) 763-6876

Sole ProprietorYes

Medical School CMSOtherGraduated 1986

Enumeration DateAugust 22, 2006

Last NPPES UpdateSeptember 11, 2025

✔ NPI 1508972522 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers

Taxonomy Code103TC2200X

License✔ Licensed in CA · PSY10326

Definition

A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.

Also ListedPsychologistTaxonomy 103T00000X · License PSY10326 (CA)

Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License PSY10326 (CA)

12725 VENTURA BLVD, Studio City, CA 91604

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Thomas Manchester Glennon Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7214911775

PECOS Enrollment IDI20040614001402

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 3

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

DR. ALFREDO E CRESPO PHD

Psychologist (Clinical)

12725 VENTURA BLVD, SUITE K
STUDIO CITY, CA 91604

Los Angeles County (818) 506-1348

DR. NANCY KASER-BOYD PH.D.

Psychologist (Forensic)

12725 VENTURA BLVD, SUITE K
STUDIO CITY, CA 91604

Los Angeles County (818) 506-0719

RITA BAZELEY MFT

Marriage & Family Therapist

12725 VENTURA BLVD, SUITE G
STUDIO CITY, CA 91604

Los Angeles County (213) 300-5295

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 Thomas Glennon's NPI number?

The NPI number for Thomas Glennon is 1508972522. It was assigned to this individual provider in the NPPES registry on August 22, 2006.

Where is Thomas Glennon located?

Thomas Glennon practices at 12725 Ventura Blvd Suite K, Studio City, CA 91604. The listed phone number is (818) 763-2745.

What is Thomas Glennon's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Is Thomas Glennon enrolled in Medicare?

Yes. Thomas Glennon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Thomas Glennon accept?

Health plans from Providence Health Plan list Thomas Glennon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Thomas Glennon was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.