Active NPI
Jason C Glipa, M.D.
- Psychiatry Physician
- Honolulu, HI
National Provider Identifier
1265462220
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MD8662
- Practice address
- 1600 Kapiolani Blvd
Suite 620
Honolulu, HI 96814-3807 - Phone
- (808) 779-1799
- NPI assigned
- Jul 4, 2006
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MD8662 | HI | Primary |
Addresses
Primary practice location
1600 Kapiolani Blvd
Suite 620
Honolulu, HI 96814-3807
Mailing address
1188 Bishop St
Suite 3007
Honolulu, HI 96813-3312
Phone (808) 599-1636
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07829705 | Medicaid | HI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190927002896 | HI | Practitioner - Psychiatry | 2466782883 | Practice locations: Honolulu, HI |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD8662 | HI | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Douglas L Smith MD | Psychiatry | Past | Accepting new patients |
| Kari Vasey Psy D Inc | Past | Accepting new patients | |
| Lokahi Consulting Group, Inc | Past | Accepting new patients | |
| MCMD Inc | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Psychiatry Physician
- Honolulu, HI
- NPI 1184499782
-
- Psychologist
- Honolulu, HI
- NPI 1487793337
-
- Psychologist
- Kailua, HI
- NPI 1841330834
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Honolulu, HI
- NPI 1922411016
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1265462220",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1188 BISHOP ST",
"address_2": "SUITE 3007",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968133312",
"telephone_number": "808-599-1636",
"fax_number": "808-599-8612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 KAPIOLANI BLVD",
"address_2": "SUITE 620",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968143807",
"telephone_number": "808-779-1799"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLIPA",
"first_name": "JASON",
"middle_name": "C",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "HI",
"license": "MD8662",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "07829705",
"state": "HI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Honolulu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.