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
- Last updated
- Mar 17, 2018
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | A97367 | CA | Primary |
| Psychosomatic Medicine Physician | 2084P0015X | A97367 | CA |
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 | Clinical Social Worker |
| A97367 | CA | MD | Psychiatry 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
- https://api.platform.athenahealth.com/3548/brand/1/csg/1/fhir/r4
- rebecca.gladding.1@16538.direct.athenahealth.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Psychiatry Physician
- Kihei, HI
- NPI 1790201184
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": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A97367",
"primary": true
},
{
"code": "2084P0015X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychosomatic Medicine",
"state": "CA",
"license": "A97367",
"primary": false
}
],
"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.