GLADYS A. BEALE M.D. – NPI #1164401063
Psychiatry & Neurology

Forensic Psychiatry is a subspecialty with psychiatric focus on interrelationships with civil, criminal and administrative law, evaluation and specialized treatment of individuals involved with the legal system, incarcerated in jails, prisons, and forensic psychiatry hospitals.

GLADYS BEALE is a psychiatry & neurologist located in FORT WAYNE, IN. NPPES has assigned the NPI number 1164401063 to GLADYS BEALE on January 10, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. She is also known by her other name GLADYS A. BEALE-GANZHORN. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2084F0202X from the Health Care Provider Taxonomy code set, which is classified as Psychiatry & Neurology, specializing in Forensic Psychiatry

The NPI profile was previously updated about 4 years ago on Oct 11, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for GLADYS BEALE below.

NPI Profile for
GLADYS A. BEALE

NPI Number
1164401063
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
GLADYS A. BEALE
Other Name: GLADYS A. BEALE-GANZHORN
Credentials
M.D.
Primary location
1720 BEACON ST
FORT WAYNE, IN 46805-4749
Phone: (260) 373-8000 Fax: (260) 373-8034
Mailing address
11109 PARKVIEW PLAZA DR # 117
FORT WAYNE, IN 46845-1701
Phone: (260) 266-6013 Fax:
Sole Proprietor
No
Updated
Certification Date
Oct 11, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for GLADYS BEALE

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
otherANTHEMIN000000543920
otherRAILROAD MEDICARE260043528
otherRAILROAD MEDICAREINP00466953
medicaidIN200274420
medicaidOH2566067
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2084F0202X
- Psychiatry & Neurology / Forensic Psychiatry (Primary)
IN 01052426A
2084P0804X
- Psychiatry & Neurology / Child & Adolescent Psychiatry
IN 01052426A

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

View All Endpoint(s)
Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
Content Type
Affiliation
N
Endpoint Location
1720 BEACON ST,
FORT WAYNE, IN 77025-1669

Endpoint
https://epicprod-mobile.parkview.com/FHIR/api/FHIR/DSTU2/
Endpoint type
FHIR URL
Endpoint Description
Content Type
Affiliation
N
Endpoint Location
1720 BEACON ST,
FORT WAYNE, IN 77025-1669

Endpoint
https://epicprod-mobile.parkview.com/FHIR/api/FHIR/R4/
Endpoint type
FHIR URL
Endpoint Description
Content Type
Affiliation
N
Endpoint Location
1720 BEACON ST,
FORT WAYNE, IN 77025-1669