Active NPI
Deborah Gladding, PSY.D.
- Psychologist
- Phoenix, AZ
National Provider Identifier
1699196915
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 4446
- Practice address
- 36625 N 18TH St
Phoenix, AZ 85086-5715 - Phone
- (480) 516-1305
- NPI assigned
- Jan 5, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 4446 | AZ | Primary |
Addresses
Primary practice location
36625 N 18TH St
Phoenix, AZ 85086-5715
Mailing address
515 E Carefree Hwy
# 269
Phoenix, AZ 85085-8839
Phone (480) 516-1305
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- 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 |
|---|---|---|---|---|
| I20140321001227 | AZ | Practitioner - Clinical Psychologist | 4486885183 | Practice locations: Phoenix, AZ |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
Phoenix, AZ 85086
Phone (480) 516-1305
515 E Carefree Hwy
Phoenix, AZ 85085-8839
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1388880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598832000000",
"number": "1699196915",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "515 E CAREFREE HWY",
"address_2": "# 269",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850858839",
"telephone_number": "480-516-1305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36625 N 18TH ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850865715",
"telephone_number": "480-516-1305"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLADDING",
"first_name": "DEBORAH",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-01-05",
"last_updated": "2020-08-31",
"certification_date": "2020-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "AZ",
"license": "4446",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2020; 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.