Active NPI
David Robert Gleave, PSYD
- Clinical Psychologist
- West Linn, OR
National Provider Identifier
1316240583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 2739
- Practice address
- 1800 Blankenship Rd Ste 200
West Linn, OR 97068 - Phone
- (971) 350-8776
- NPI assigned
- Dec 10, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Forensic Psychologist | 103TF0200X | 2739 | OR | |
| Clinical Psychologist | 103TC0700X | 2739 | OR | Primary |
Addresses
Primary practice location
1800 Blankenship Rd Ste 200
West Linn, OR 97068
Mailing address
PO Box 223
West Linn, OR 97068-0223
Phone (971) 350-8776
Other practice location 1
2104 SE Morrison St
Portland, OR 97214
Phone (971) 285-6545
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2739 | OR | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| David Robert Gleave, PSYD, LLC | Past | Accepting new patients | |
| The DBT Clinic, PC | 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- West Linn, OR
- NPI 1750856084
-
- Professional Counselor
- Portland, OR
- NPI 1801203765
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291939200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539388800000",
"number": "1316240583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 223",
"city": "WEST LINN",
"state": "OR",
"postal_code": "970680223",
"telephone_number": "971-350-8776"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 BLANKENSHIP RD STE 200",
"city": "WEST LINN",
"state": "OR",
"postal_code": "97068",
"telephone_number": "971-350-8776"
}
],
"practiceLocations": [
{
"address_1": "2104 SE Morrison St",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "97214",
"country_code": "US",
"telephone_number": "971-285-6545",
"fax_number": "503-764-9483",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GLEAVE",
"first_name": "DAVID",
"middle_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-12-10",
"last_updated": "2018-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "103TF0200X",
"taxonomy_group": "",
"desc": "Psychologist, Forensic",
"state": "OR",
"license": "2739",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "OR",
"license": "2739",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Linn, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.