Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Glenn Eugene Ferguson, PHD

Individual provider Clinical Psychologist · NPI 1922391994

Glenn Eugene Ferguson, PHD is a Clinical Psychologist in Espanola, New Mexico. Qualified in 1997, 29 years ago. Practices with Meditelecare of Colorado LLC, a 3-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Colorado, New Jersey and New Mexico.

Years since qualifying
29
Licensed in
CO, NJ, NM
In the registry since
2011
Specialties on file
3
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

206 S Coronado Ave
Espanola, NM 87532-2792
Phone: (860) 788-6404
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1900 W Littleton Blvd, Littleton, CO 80120-2023 — (860) 788-6404

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PSY-2022-0061 (NM)
Clinical Psychologist Taxonomy 103TC0700X · Licence PSY.0004552 (CO)
Clinical Psychologist Taxonomy 103TC0700X · Licence 44SI00428700 (NJ)

Record details

NPI number1922391994
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedMay 24, 2011
Last updated in NPPESJuly 8, 2024
Certification dateJuly 8, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice Meditelecare Of Colorado Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients184
Services billed 1,210 a service is one billed item, such as a visit, a test or a procedure
Average patient age74

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Meditelecare of Colorado LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice.

Other providers in Espanola