Active NPI
Boguslaw Gluszak, M.D.
- Psychiatry Physician
- Bolivar, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 2025050644
- Practice address
- 1120 S Springfield Ave
Bolivar, MO 65613-2512 - Phone
- (417) 326-7814
- NPI assigned
- May 3, 2006
- Last updated
- Mar 19, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 2025050644 | MO | Primary |
Addresses
Primary practice location
1120 S Springfield Ave
Bolivar, MO 65613-2512
Mailing address
1500 N Oakland Ave
Bolivar, MO 65613-3011
Phone (417) 326-6000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200168742 | Medicaid | MO | |
| 200461380 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Bolivar, MO 65613
Phone (417) 328-6631
1125 N Butterfield Rd
CMH Dermatology
Bolivar, MO 65613-1056
Phone (417) 328-4500
1155 W Parkview
Bolivar, MO 65613-7800
1155 W Parkview
2K CMH Rheumatology
Bolivar, MO 65613-8598
Phone (417) 328-7000
1155 W Parkview St
Bolivar, MO 65613-7800
1155 W Parkview St
Bolivar, MO 65613-8597
1155 W Parkview St
1C
Bolivar, MO 65613-8279
Phone (417) 326-7246
1155 W Parkview St
Suite 2J
Bolivar, MO 65613-8598
Phone (417) 328-7702
1160 W Parkview St
CMH Nephrology Clinic
Bolivar, MO 65613-8279
Phone (417) 328-7300
1245 N Butterfield Rd
Bolivar, MO 65613-3017
1500 N Oakland Ave
CMH Diabetes
Bolivar, MO 65613-3099
Phone (417) 328-6040
1501 N Oakland Ave
CMH Oncology Clinic
Bolivar, MO 65613-3020
Phone (417) 328-7200
2001 W Broadway St
Bolivar, MO 65613-1861
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2025050644 | MO | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optum Behavioral Care of North Carolina, PC | Current | Accepting new patients | |
| Tampa Bay Psychiatric Services PL | Psychiatry | Current | Accepting new patients |
| Citizens Memorial Healthcare | Current | Accepting new patients | |
| Citizens Memorial Healthcare | Psychiatry | Current | Accepting new patients |
| Tampa Bay Psychiatric Services PL | Psychiatry | Current | Accepting new patients |
Locations
1767 Lakewood Ranch Blvd
Bradenton, FL 34211
Phone (941) 423-2728
5715 21st Ave W
Bradenton, FL 34209
Phone (941) 346-6460
1090 Tamiami Trl
Sarasota, FL 34236
Phone 94136308782005
3848 Flatiron Loop
Unit 102
Wesley Chapel, FL 33544
Phone (813) 648-7220
1120 S Springfield Ave
Bolivar, MO 65613
Phone (417) 326-4000
1500 N Oakland Ave
Bolivar, MO 65613
Phone (417) 326-6000
Organizations & group practices 5
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.
-
dba CMH Willard Medical Center
- Rural Health Clinic/Center
- Willard, MO
- NPI 1568127397
-
- Counseling Psychologist
- Sarasota, FL
- NPI 1033984448
-
- Psychiatry Physician
- Wesley Chapel, FL
- NPI 1245605468
-
- Psychiatry Physician
- Sarasota, FL
- NPI 1891150488
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Citizens Memorial Hospital
- General Acute Care Hospital
- Bolivar, MO
- NPI 1003981549
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773878400000",
"number": "1689632994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 N OAKLAND AVE",
"city": "BOLIVAR",
"state": "MO",
"postal_code": "656133011",
"telephone_number": "417-326-6000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1120 S SPRINGFIELD AVE",
"city": "BOLIVAR",
"state": "MO",
"postal_code": "656132512",
"telephone_number": "417-326-7814"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLUSZAK",
"first_name": "BOGUSLAW",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-03",
"last_updated": "2026-03-19",
"certification_date": "2026-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MO",
"license": "2025050644",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200168742",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200461380",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bolivar, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2026; 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.