Glenn Sample, PSY.D.
Clinical Psychologist · Rockford, IL
Glenn Sample, PSY.D. is a clinical psychologist with a practice address in Rockford, Illinois, and NPI 1881915270, issued on Jun 20, 2010. Check the license (Illinois 071009666, as entered in NPPES) with the Illinois board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Glenn Sample
- Credential
- PSY.D.
- Primary taxonomy
- Clinical Psychologist 103TC0700X
- License numbers
- 071009666 IL
178010086 IL
180010078 IL
30340 CA
Self-reported in NPPES; status is on the state search - Practice location
- 1643 N Alpine RD Ste 104-609, Rockford, IL 61107
- Phone
- (773) 245-3449
- Enumerated
- Jun 20, 2010
- Record last updated
- Mar 8, 2026
- Medicare enrollment
- Enrolled (PECOS I20180126000958); may accept Medicare assignment
- Entity
- Type 1 · individual
8 nearest clinical psychologist records → All 3,947 in Illinois → Look up another NPI →
Verify Glenn Sample in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Illinois board licenses this profession
Search for license 071009666Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Glenn Sample among 3,947 clinical psychologist records in Illinois
Glenn Sample, PSY.D. is one of 3,947 clinical psychologist records with a practice address in Illinois. 16% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2010, is newer than 50% of them.
- NPI issued2010 · 50% of these records are older, 46% newer
- In a Medicare fileNo · 16% of these records are
- In the CMS Doctors and Clinicians fileYes · 27% of these records are
- Graduated2013 · median 2004 among the 1,081 with a school on file
- Record last updated2026 · 68% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 103TC0700X and a Illinois practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Clinical Psychologist providers in Illinois
There are 3,947 clinical psychologist records in Illinois. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
All 3,947 in Illinois → Every provider in Rockford → Clinical Psychologist nationwide →
The 8 clinical psychologist records with the nearest ZIP codes
- George Didier, PSYDRockford, IL 611071164597365
- Thomas Dudgeon, PH.D.Rockford, IL 611071184752602
- Alesia Hawkins-Jones, PH.D.Rockford, IL 611071609007699
- Martin Wolff, ED.D.Rockford, IL 611071437135852
- Cynthia Brander, PSY.D.Rockford, IL 611081639301211
- Margaret Loy, PH.D.Rockford, IL 611081659930956
- Sheila Stone, PSY.D.Rockford, IL 611081235564428
- James Viggiano, PHDRockford, IL 611081073609426
Common questions
What is Glenn Sample, PSY.D.'s NPI number?
Glenn Sample, PSY.D.'s National Provider Identifier (NPI) is 1881915270, issued on Jun 20, 2010. An NPI identifies a provider in billing; it is not a license.
Where is Glenn Sample, PSY.D. located?
The NPPES record lists a practice address at 1643 N Alpine RD Ste 104-609, Rockford, IL, 61107. Phone: (773) 245-3449. Providers update this record themselves, so call before visiting.
How can I verify Glenn Sample, PSY.D.'s license?
NPPES lists Illinois license number 071009666, as entered by the provider. Search the Illinois board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.