Drew Joseph Gleitsmann, HSPP
Individual provider Active NPI Health Service Psychologist · Alexandria, IN
NPI 1982245239 · NPPES record last updated Oct 7, 2019
Key facts
- NPI
- 1982245239
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Health Service Psychologist 103TH0100X
- License
- 20043193A (IN)
- Practice address
- 121 W Washington St
Alexandria, IN 46001-1809 - Phone
- (765) 705-0300
- NPI assigned
- Oct 7, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191021002246 | IN | Practitioner - Clinical Psychologist | 9133451347 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20043193A | IN | MD | Health Service Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jpchc Pharmacy LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Psychologist | 103TH0100X | 20043193A | IN | Yes |
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
Other providers in Alexandria, IN
- Katera Lynn Couch
- Christopher Michael Day
- Hubert Dolubizno
- Amanda Renee Ellingwood
- Yochana R Gavva
- Rhonda A Goforth
- Alampartap Grewal
- Kimberley Ann Gull
- David E Haag
- Bethany Sue Harlan
All providers in Alexandria, IN · Health Service Psychologist in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 7, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.