Individual provider Active NPI

Jason C Glipa, M.D.

  • Psychiatry Physician
  • Honolulu, HI
National Provider Identifier
1265462220
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD8662 Issued in HI
Practice address
1600 Kapiolani Blvd
Suite 620
Honolulu, HI 96814-3807
Phone
(808) 779-1799
NPI assigned
Jul 4, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
07829705MedicaidHI

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
MD8662HIMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Douglas L Smith MD Psychiatry PastSince Nov 26, 2023 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.

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

Verify at the official NPI Registry.