Active NPI
Paul James Gleason, PH.D.
- Clinical Psychologist
- Athens, OH
National Provider Identifier
1407835317
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 264
- Practice address
- 8055 Rock Riffle Rd
Athens, OH 45701-8823 - Phone
- (740) 594-7084
- Fax
- (740) 594-7084
- NPI assigned
- Jan 10, 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 264 | OH | Primary |
Addresses
Primary practice location
8055 Rock Riffle Rd
Athens, OH 45701-8823
Mailing address
8055 Rock Riffle Rd
Athens, OH 45701-8823
Phone (740) 594-7084
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120225000082 | OH | Practitioner - Clinical Psychologist | 4385802107 | Practice locations: Athens, OH |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Pennsylvania State University College of Medicine, 1968
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
8055 Rock Riffle Rd
Athens, OH 45701-8823
Phone (740) 594-7084
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 264 | OH | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330473600000",
"number": "1407835317",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8055 ROCK RIFFLE RD",
"city": "ATHENS",
"state": "OH",
"postal_code": "457018823",
"telephone_number": "740-594-7084",
"fax_number": "740-594-7084"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8055 ROCK RIFFLE RD",
"city": "ATHENS",
"state": "OH",
"postal_code": "457018823",
"telephone_number": "740-594-7084",
"fax_number": "740-594-7084"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLEASON",
"first_name": "PAUL",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-10",
"last_updated": "2012-02-29",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "OH",
"license": "264",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Athens, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2012; 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.