Glenn Eugene Ferguson, PHD
NPI 1922391994ActiveIndividual· Psychologist, Clinical· Espanola, NM
Psychologist, Clinical (PHD) with Meditelecare of New Mexico, LLC and 1 other group, practicing in Espanola, New Mexico. Medicare paid $78,061 for services to 184 patients in 2024.
Overview
| NPI | 1922391994 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHD |
| Sole proprietor | No |
| NPI issued | May 24, 2011 |
| Last updated in NPPES | Jul 8, 2024 |
| Certified by provider | Jul 8, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | PSY-2022-0061 | NM |
| Psychologist, Clinical | 103TC0700X | PSY.0004552 | CO |
| Psychologist, Clinical | 103TC0700X | 44SI00428700 | NJ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (CO); Practitioner - Clinical Psychologist (NJ); Practitioner - Clinical Psychologist (NM) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 184 |
|---|---|
| Services billed | 1,210 across 5 procedure codes |
| Paid by Medicare | $78,061 |
Education and affiliations
| Graduation year | 1997 |
|---|---|
| Medicare specialty | Clinical Psychologist |
| Telehealth | Offers telehealth |
Medical groups
- Meditelecare of New Mexico, LLCEspanola, NM · 7 clinicians
- Meditelecare of Colorado LLCLittleton, CO · 3 clinicians
Other facilities
- Bloomfield Nursing and Rehabilitation CenterNursing home · Bloomfield, NM
- Clayton Nursing and Rehab CenterNursing home · Clayton, NM
- Spring River Rehabilitation and Care CenterNursing home · Roswell, NM
- St. Anthony Healthcare and Rehabilitation CenterNursing home · Clovis, NM
Other clinical psychologists in Espanola
- 1043383805
- 1760582464
- 1528216694