Active NPI
Ronald J Gloston Jr., PSY.D.
- Counselor
- Crofton, MD
National Provider Identifier
1013528637
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 2110 Priest Bridge Dr Ste 1
Crofton, MD 21114-2472 - Phone
- (443) 937-7089
- NPI assigned
- Aug 17, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
2110 Priest Bridge Dr Ste 1
Crofton, MD 21114-2472
Mailing address
434 24TH St NE
Washington, DC 20002-4804
Phone (202) 845-2805
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mirror Mental Health | Multi-Specialty | Current | Accepting new patients |
Locations
2110 Priest Bridge Dr
Ste 1
Crofton, MD 21114
Phone (443) 937-7089
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597622400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597622400000",
"number": "1013528637",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "434 24TH ST NE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200024804",
"telephone_number": "202-845-2805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2110 PRIEST BRIDGE DR STE 1",
"city": "CROFTON",
"state": "MD",
"postal_code": "211142472",
"telephone_number": "443-937-7089"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLOSTON",
"first_name": "RONALD",
"middle_name": "J",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-08-17",
"last_updated": "2020-08-17",
"certification_date": "2020-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Crofton, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.