Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Thomas Manchester Glennon, PHD

Individual provider Clinical Psychologist · NPI 1508972522

Thomas Manchester Glennon, PHD is a Clinical Psychologist in Studio City, California. Qualified in 1986, 40 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
40
Licensed in
CA
In the registry since
2006
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

12725 Ventura Blvd Ste K
Studio City, CA 91604-2437
Phone: (818) 763-2745
Fax: (818) 763-6876
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Child & Adolescent Psychologist (primary) Taxonomy 103TC2200X · Licence PSY10326 (CA)
Clinical Psychologist Taxonomy 103TC0700X · Licence PSY10326 (CA)
Psychologist Taxonomy 103T00000X · Licence PSY10326 (CA)

Record details

NPI number1508972522
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedAugust 22, 2006
Last updated in NPPESSeptember 11, 2025

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1986 (40 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Studio City