1659431757 NPI number — ANDI M GLETTY CADCII A3773397

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1659431757 NPI number — ANDI M GLETTY CADCII A3773397

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
GLETTY
Provider First Name:
ANDI
Provider Middle Name:
M
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
CADCII A3773397
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1659431757
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
10899 NORTH SLOPE DRIVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
KELSEYVILLE
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
95451
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
707-994-7090
Provider Business Mailing Address Fax Number:
707-994-7096

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
15145A LAKESHORE DRIVE
Provider Second Line Business Practice Location Address:
LAKE COUNTY MENTAL HEALTH
Provider Business Practice Location Address City Name:
CLEARLAKE
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95422
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
707-994-7090
Provider Business Practice Location Address Fax Number:
707-994-7096
Provider Enumeration Date:
12/11/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YA0400X , with the licence number:  A3773397 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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