Glenn Sample, PSY.D.
NPI 1881915270 · Clinical Psychologist · Rockford, IL
Enrolled with Medicare as Practitioner - Clinical Psychologist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Glenn Sample, PSY.D. is a Clinical Psychologist provider in Rockford, IL (NPI 1881915270).
Provider details
- NPI number
- 1881915270
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- PSY.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 178010086 (IL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2010-06-20
- Last updated
- 2026-03-08
- Certified
- 2026-03-08
Frequently asked questions
- What is Glenn Sample's NPI number?
- Glenn Sample's National Provider Identifier (NPI) is 1881915270, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Glenn Sample's specialty?
- Glenn Sample is listed in the NPPES registry with a primary specialty of Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Glenn Sample located?
- Glenn Sample's practice location on file with NPPES is 1643 N Alpine Rd Ste 104-609, Rockford, IL 61107-1462.
- What is Glenn Sample's phone number?
- The practice phone number listed in the NPPES registry for Glenn Sample is (773) 245-3449.
- Does Glenn Sample accept Medicare?
- Glenn Sample is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Glenn Sample's NPI active?
- Yes — Glenn Sample's NPI (1881915270) is active in the NPPES registry as of the last update on 2026-03-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.