Active NPI
Gary Glass, MD
- Psychiatry Physician
- Austin, TX
National Provider Identifier
1306867924
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- F5919
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 035680001 | Medicaid | TX |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Matthew W Turner PHD Inc | Past | 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.
-
- Clinical Psychologist
- Cedar Park, TX
- NPI 1649824822
-
- Clinical Psychologist
- Austin, TX
- NPI 1033306048
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2016; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.