Glenn Richard Powers, PH.D.
NPI 1194782789ActiveIndividual· Psychologist· Caldwell, ID
Psychologist (PH.D.) with Tubi Connect Inc, practicing in Caldwell, Idaho. Medicare paid $26,940 for services to 27 patients in 2024.
Overview
| NPI | 1194782789 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PH.D. |
| Sole proprietor | Yes |
| NPI issued | Apr 27, 2006 |
| Last updated in NPPES | Sep 12, 2024 |
| Certified by provider | Sep 12, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | PSY19347 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 27 |
|---|---|
| Services billed | 215 across 4 procedure codes |
| Paid by Medicare | $26,940 |
Education and affiliations
| Graduation year | 1993 |
|---|---|
| Medicare specialty | Clinical Psychologist |
Medical group
- Tubi Connect IncLa Jolla, CA · 2 clinicians
Other Psychologist providers in Caldwell
- 1386660678