Active NPI
Rebecca Gladding, M.D.
- Psychiatry Physician
- Kihei, HI
National Provider Identifier
1376752188
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A97367
- Practice address
- 95 E Lipoa St Ste 209
Kihei, HI 96753-8191 - Phone
- (808) 740-8425
- NPI assigned
- May 21, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Psychosomatic Medicine Physician | 2084P0015X | A97367 | CA | |
| Psychiatry Physician | 2084P0800X | A97367 | CA | Primary |
Addresses
Primary practice location
95 E Lipoa St Ste 209
Kihei, HI 96753-8191
Mailing address
95 E Lipoa St Ste 209
Kihei, HI 96753-8191
Phone (808) 740-8425
Other practice location 1
3600 American River Dr
Suite 200
Sacramento, CA 95864-5921
Phone (916) 669-1200
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 Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 97367 | CA | MD | Mental Health Counselor |
| A97367 | CA | MD | Psychosomatic Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| HLN Physicians Inc | Psychosomatic Medicine | Past | Accepting new patients |
| Healthlinknow Inc | Psychosomatic Medicine | Past | Accepting new patients |
Interoperability endpoints
- rebecca.gladding.1@16538.direct.athenahealth.com
- https://api.platform.athenahealth.com/3548/brand/1/csg/1/fhir/r4
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": "1179705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1376752188",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "95 E LIPOA ST STE 209",
"city": "KIHEI",
"state": "HI",
"postal_code": "967538191",
"telephone_number": "808-740-8425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "95 E LIPOA ST STE 209",
"city": "KIHEI",
"state": "HI",
"postal_code": "967538191",
"telephone_number": "808-740-8425"
}
],
"practiceLocations": [
{
"address_1": "3600 American River Dr",
"address_2": "Suite 200",
"address_purpose": "LOCATION",
"city": "Sacramento",
"state": "CA",
"postal_code": "958645921",
"country_code": "US",
"telephone_number": "916-669-1200",
"fax_number": "916-669-1214",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GLADDING",
"first_name": "REBECCA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-21",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0015X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychosomatic Medicine",
"state": "CA",
"license": "A97367",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A97367",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kihei, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.