Active NPI
Glidepath Behavioral Health, a Professional Nursing Corporation
Doing business as Glidepath Behavioral Health
- Psychiatric/Mental Health Nurse Practitioner
- Walnut Creek, CA
National Provider Identifier
1114671849
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- GLIDEPATH BEHAVIORAL HEALTH, A PROFESSIONAL NURSING CORPORATION
- Doing business as
- Glidepath Behavioral Health
- Practice address
- 3122 Sugarberry Court
Walnut Creek, CA 94598-9459 - Phone
- (562) 667-6523
- Fax
- (925) 291-5500
- NPI assigned
- Feb 10, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Joseph John Harrison, NP-C
- Title
- President and Principal Clinician
- Phone
- (562) 667-6523
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | |||
| Licensed Vocational Nurse | 164X00000X | |||
| Family Nurse Practitioner | 363LF0000X | |||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
3122 Sugarberry Court
Walnut Creek, CA 94598-9459
Mailing address
3122 Sugarberry CT
Walnut Creek, CA 94598-1727
Phone (562) 667-6523
Other names 1
- Glidepath Behavioral Health
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644451200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1644537600000",
"number": "1114671849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3122 SUGARBERRY CT",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945981727",
"telephone_number": "562-667-6523"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3122 SUGARBERRY COURT",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945989459",
"telephone_number": "562-667-6523",
"fax_number": "925-291-5500"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GLIDEPATH BEHAVIORAL HEALTH, A PROFESSIONAL NURSING CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2022-02-10",
"last_updated": "2022-02-11",
"certification_date": "2022-02-11",
"status": "A",
"authorized_official_last_name": "HARRISON",
"authorized_official_first_name": "JOSEPH",
"authorized_official_middle_name": "JOHN",
"authorized_official_title_or_position": "PRESIDENT AND PRINCIPAL CLINICIAN",
"authorized_official_telephone_number": "562-667-6523",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "NP-C"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "164X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Licensed Vocational Nurse",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Glidepath Behavioral Health",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Glidepath Behavioral Health",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Walnut Creek, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.