Individual provider Active NPI

Bruce Whyddon Gladstone, PH.D.

  • Counseling Psychologist
  • Ojai, CA
National Provider Identifier
1295812659
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
PSY6173 Issued in CA
Practice address
530 W Ojai Ave
Suite 208
Ojai, CA 93023-2462
Phone
(805) 646-9724
Fax
(805) 646-1387
NPI assigned
Nov 1, 2006
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
Counseling Psychologist 103TC1900X PSY6173 CA Primary

Addresses

Primary practice location

530 W Ojai Ave
Suite 208
Ojai, CA 93023-2462

Mailing address

530 W Ojai Ave
Suite 208
Ojai, CA 93023-2462
Phone (805) 646-9724

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)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY6173CAMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Gladstone Counseling Center Counseling PastSince Jan 1, 2021 Accepting new patients

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295812659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 W OJAI AVE",
            "address_2": "SUITE 208",
            "city": "OJAI",
            "state": "CA",
            "postal_code": "930232462",
            "telephone_number": "805-646-9724",
            "fax_number": "805-646-1387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 W OJAI AVE",
            "address_2": "SUITE 208",
            "city": "OJAI",
            "state": "CA",
            "postal_code": "930232462",
            "telephone_number": "805-646-9724",
            "fax_number": "805-646-1387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLADSTONE",
        "first_name": "BRUCE",
        "middle_name": "WHYDDON",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "CA",
            "license": "PSY6173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ojai, CA

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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.