Organization · Type 2 NPI

Glidepath Behavioral Health, A Professional Nursing Corporation

Psychiatric/Mental Health Nurse Practitioner · Walnut Creek, CA

NPI number 1114671849 Active

Practice location

3122 Sugarberry Court
Walnut Creek, CA 94598-9459

Call (562) 667-6523 Map

Fax (925) 291-5500

Mailing address

3122 Sugarberry Ct
Walnut Creek, CA 94598-1727

Specialties and licenses

Taxonomy	Code	License
Clinical Social Worker	1041C0700X	None listed
Licensed Vocational Nurse	164X00000X	None listed
Family Nurse Practitioner	363LF0000X	None listed
Psychiatric/Mental Health Nurse Practitioner Primary	363LP0808X	None listed

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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NPI record

NPI: 1114671849
Entity type: Organization (Type 2)
Issued: Feb 10, 2022
Last updated: Feb 11, 2022
Status: Active

Other names

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Glidepath Behavioral Health · doing business as
Glidepath Behavioral Health · doing business as

Authorized official

Mr. Joseph John Harrison, NP-C
President and Principal Clinician
(562) 667-6523

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1114671849

Glidepath Behavioral Health, A Professional Nursing Corporation's National Provider Identifier is 1114671849, issued on Feb 10, 2022. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Walnut Creek, CA. The record was last updated on Feb 11, 2022.