GLENN EUGENE FERGUSON PHD
NPI 1922391994
Psychologist - Clinical in Espanola, NM

Active since May 24, 2011PECOS EnrolledAccepts Medicare Assignment
206 S CORONADO AVE, ESPANOLA, NM 87532(860) 788-6404 Get Directions Write a Review

NPPES record last updated: July 8, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 8, 2024, Apr 10, 2018 (2 updates tracked since 2018).

About Glenn Eugene Ferguson Phd NPPES

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

GLENN EUGENE FERGUSON PHD (NPI 1922391994) is an individual clinical provider in Espanola, New Mexico, licensed in New Mexico (PSY-2022-0061) and active in the NPI registry since May 2011. He is enrolled in Medicare PECOS, maintains a secondary practice location in Littleton, and is a graduate of Other (1997).

NPPES Registry Identity

NPI1922391994
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameGLENN EUGENE FERGUSONCredential: PHD
Location Address206 S CORONADO AVEEspanola, NM 87532-2792
Mailing AddressPo Box 1595Middletown, CT 06457-8095 · (860) 788-6404
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateMay 24, 2011
Last NPPES UpdateJuly 8, 20242 updates tracked since enumeration
NPPES CertifiedJuly 8, 2024
NPI 1922391994 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Licenses Licensed in NM · PSY-2022-0061 Licensed in CO · PSY.0004552 Licensed in NJ · 44SI00428700
Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

206 S CORONADO AVE, Espanola, NM 87532

Secondary Practice Location 1

Location 11900 W Littleton BlvdLittleton, CO 80120-2023 · Phone (860) 788-6404

Accepted 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

Glenn Eugene Ferguson 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 ID3870771496
PECOS Enrollment IDI20180430000328, I20230104001480
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 30 minutes 90832
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.
1,133 services173 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
70 services70 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87532 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$166.80 typical visit price
range $54.26 – $166.80
Typical copayment $41.70 (range $13.56 – $41.70)
Most-billed visit code 99205
Established Patient
$96.38 typical visit price
range $17.00 – $135.35
Typical copayment $24.09 (range $4.25 – $33.83)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 8

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

Psychiatry & Neurology (Neurology)
206 S CORONADO AVE
ESPANOLA, NM 87532
Nurse Practitioner (Psychiatric/Mental Health)
206 S CORONADO AVE
ESPANOLA, NM 87532
Clinical Nurse Specialist (Psychiatric/Mental Health)
206 S CORONADO AVE
ESPANOLA, NM 87532
Doula
206 S CORONADO AVE
ESPANOLA, NM 87532
Internal Medicine
206 S CORONADO AVE
ESPANOLA, NM 87532
Psychiatry & Neurology (Psychiatry)
206 S CORONADO AVE
ESPANOLA, NM 87532
Internal Medicine
206 S CORONADO AVE
ESPANOLA, NM 87532
Counselor (Mental Health)
206 S CORONADO AVE
ESPANOLA, NM 87532

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 Glenn Ferguson's NPI number?

The NPI number for Glenn Ferguson is 1922391994. It was assigned to this individual provider in the NPPES registry on May 24, 2011.

Where is Glenn Ferguson located?

Glenn Ferguson practices at 206 S Coronado Ave, Espanola, NM 87532. The listed phone number is (860) 788-6404.

What is Glenn Ferguson's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Glenn Ferguson enrolled in Medicare?

Yes. Glenn Ferguson 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 Glenn Ferguson accept?

Health plans from Providence Health Plan list Glenn Ferguson 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 Glenn Ferguson was last updated on July 8, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.