Individual provider Active NPI

Gary Glass, MD

  • Psychiatry Physician
  • Austin, TX
National Provider Identifier
1306867924
Registry record updated Jan 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
F5919 Issued in TX
Practice address
4601 Spicewood Springs Rd
Building 4, Suite 200
Austin, TX 78759-8598
Phone
(512) 467-1376
Fax
(512) 467-8658
NPI assigned
Jul 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2016

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 F5919 TX Primary

Addresses

Primary practice location

4601 Spicewood Springs Rd
Building 4, Suite 200
Austin, TX 78759-8598

Mailing address

4601 Spicewood Springs Rd
Building 4 Suite 200
Austin, TX 78759-8598

Other identifiers 1

IdentifierTypeStateIssuer
035680001MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20120221000779 TX Practitioner - Psychiatry 4688832710 Practice locations: Austin, TX

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4505 Spicewood Springs Rd
Suite 335
Austin, TX 78759-8541
Phone (512) 467-1376

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Matthew W Turner PHD Inc PastSince Nov 29, 2007 Accepting new patients
Creative Solutions Behavioral Health, PLLC Past Accepting new patients

Organizations & group practices 2

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": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452643200000",
    "number": "1306867924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 SPICEWOOD SPRINGS RD",
            "address_2": "BUILDING 4 SUITE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787598598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 SPICEWOOD SPRINGS RD",
            "address_2": "BUILDING 4, SUITE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787598598",
            "telephone_number": "512-467-1376",
            "fax_number": "512-467-8658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLASS",
        "first_name": "GARY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2016-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "F5919",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "035680001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.