Active NPI
Julie A Gladnick, MA, LMFT
- Marriage & Family Therapist
- San Francisco, CA
National Provider Identifier
1366775512
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 998
- Practice address
- 1801 Vicente St
San Francisco, CA 94116-2923 - Phone
- (415) 682-3265
- NPI assigned
- Sep 4, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | |||
| Marriage & Family Therapist | 106H00000X | 998 | CO | Primary |
| Marriage & Family Therapist | 106H00000X | 50279 | CA |
Addresses
Primary practice location
1801 Vicente St
San Francisco, CA 94116-2923
Mailing address
2855 N Speer Blvd
Suite C
Denver, CO 80211-4239
Phone (720) 446-8255
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 998 | CO | MD | Health Service Psychologist |
| 50279 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1252022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347494400000",
"number": "1366775512",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2855 N SPEER BLVD",
"address_2": "SUITE C",
"city": "DENVER",
"state": "CO",
"postal_code": "802114239",
"telephone_number": "720-446-8255",
"fax_number": "303-317-8017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1801 VICENTE ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941162923",
"telephone_number": "415-682-3265"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLADNICK",
"first_name": "JULIE",
"middle_name": "A",
"name_prefix": "Mrs.",
"credential": "MA, LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-09-04",
"last_updated": "2012-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CO",
"license": "998",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "50279",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.