Gale Rolland Beardsley Jr., M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

G151697 Issued in CA

Practice address

1629 Wilder Ave Apt 704
Honolulu, HI 96822-4666

Phone

(808) 721-7278

Fax

(808) 207-3799

NPI assigned

Jun 8, 2005

Last updated

May 7, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• County of Butte

  • Adult Mental Health Clinic/Center
  • Chico, CA
  • NPI 1578623583
  Medicare reassignment NPD
• County of Butte

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Paradise, CA
  • NPI 1174161343
  NPD
• County of Butte

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Gridley, CA
  • NPI 1205994548
  NPD

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

{
    "created_epoch": "1118188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620345600000",
    "number": "1790789600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1629 WILDER AVE APT 704",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968224666",
            "telephone_number": "808-721-7278",
            "fax_number": "808-207-3799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1629 WILDER AVE APT 704",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968224666",
            "telephone_number": "808-721-7278",
            "fax_number": "808-207-3799"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 Kapiolani Blvd",
            "address_2": "Ste 402",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968135141",
            "country_code": "US",
            "telephone_number": "808-537-2665",
            "fax_number": "808-524-3747",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2550 W Clinton Ave Bldg W",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937054206",
            "country_code": "US",
            "telephone_number": "808-721-7278",
            "fax_number": "808-207-3799",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEARDSLEY",
        "first_name": "GALE",
        "middle_name": "ROLLAND",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-08",
        "last_updated": "2021-05-07",
        "certification_date": "2021-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "HI",
            "license": "MD4083",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G151697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Liezl Zeta Beall, BSN-RN
• John Francis Beamis Jr., MD
• Cameron Bean, MD, MPH
• Kellen Bean, MD
• Kylie Bean
• Rebecca Marie Beardsley, PHD
• Amy Renee Beasley, CRNA
• Darlene Beatty
• Samantha K Beaumont, LMFT
• Rhiana Kai Beauregard

• Psychiatry Physician in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Psychiatry Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.