Organization Active NPI

David Robert Gleave, PSYD, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • West Linn, OR
National Provider Identifier
1750856084
Registry record updated Oct 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
DAVID ROBERT GLEAVE, PSYD, LLC
Practice address
1800 Blankenship Rd Ste 200
West Linn, OR 97068-4174
Phone
(971) 350-8776
NPI assigned
Oct 13, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. David Robert Gleave, PSYDNPI 1316240583
Title
Owner
Phone
(971) 350-8776

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

1800 Blankenship Rd Ste 200
West Linn, OR 97068-4174

Mailing address

PO Box 223
West Linn, OR 97068-0223
Phone (971) 350-8776

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1539388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539388800000",
    "number": "1750856084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 223",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "970680223",
            "telephone_number": "971-350-8776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 BLANKENSHIP RD STE 200",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "970684174",
            "telephone_number": "971-350-8776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID ROBERT GLEAVE, PSYD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-13",
        "last_updated": "2018-10-13",
        "status": "A",
        "authorized_official_last_name": "GLEAVE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "971-350-8776",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Linn, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 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.

Verify at the official NPI Registry.