Individual provider Active NPI

Drew Joseph Gleitsmann, HSPP

  • Health Service Psychologist
  • Alexandria, IN
National Provider Identifier
1982245239
Registry record updated Oct 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service PsychologistTaxonomy code 103TH0100X
License
20043193A Issued in IN
Practice address
121 W Washington St
Alexandria, IN 46001-1809
Phone
(765) 705-0300
NPI assigned
Oct 7, 2019
Last updated
Oct 7, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Psychologist 103TH0100X 20043193A IN Primary

Addresses

Primary practice location

121 W Washington St
Alexandria, IN 46001-1809

Mailing address

1503 N Mitthoeffer Rd
Indianapolis, IN 46229-2425
Phone (317) 934-0800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191021002246 IN Practitioner - Clinical Psychologist 9133451347 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Jpchc Pharmacy LLC PastSince Oct 13, 2019 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1570406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570406400000",
    "number": "1982245239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1503 N MITTHOEFFER RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462292425",
            "telephone_number": "317-934-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 W WASHINGTON ST",
            "city": "ALEXANDRIA",
            "state": "IN",
            "postal_code": "460011809",
            "telephone_number": "765-705-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLEITSMANN",
        "first_name": "DREW",
        "middle_name": "JOSEPH",
        "credential": "HSPP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-07",
        "last_updated": "2019-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": "IN",
            "license": "20043193A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, IN

Sources for this page

Verify at the official NPI Registry.