Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. GLENN SAMPLE, PSY.D.
Active Sole ProprietorDR. GLENN SAMPLE, PSY.D. is a Clinical Psychologist healthcare provider located in ROCKFORD, Illinois. NPI 1881915270 is currently active in the NPPES registry. Verify at CMS.
Clinical Psychologist · ROCKFORD, IL
Registration Details
- NPI Number
- 1881915270
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 20, 2010 (16.172483222126 yrs)
- Last Updated
- Mar 8, 2026
- Licenses
-
178010086 (IL)30340 (CA)180010078 (IL)071009666 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1643 N ALPINE RD STE 104-609ROCKFORD, IL, 611071462Browse IL providers · Browse ZIP 61107
- Phone
- 7732453449
- Primary Specialty
-
Clinical Psychologist
103TC0700X
- Additional Specialty
- Clinical Psychologist
- Additional Specialty
- Professional Counselor
- Additional Specialty
- Clinical Psychologist
Other Clinical Psychologist Providers in ROCKFORD, IL
| Name | Credential | NPI |
|---|---|---|
| SHERRY A FALSETTI | PHD | 1346224375 |
| DR. MARTIN E. WOLFF | ED.D. | 1437135852 |
| DR. JESSICA DANNENMAIER | PSY,D. | 1831122100 |
| DR. KYLE J CUSHING | PSY.D. | 1346259157 |
| JUDITH TRIGG | PSY.D | 1245243237 |
| JAMES M VIGGIANO | PHD | 1073609426 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.