GLADYS A. BEALE M.D. - NPI 1164401063 - Psychiatry & Neurology in Fort Wayne, IN

Q: What is Gladys Beale's NPI number?

The NPI number for Gladys Beale is 1164401063. It was assigned to this individual provider in the NPPES registry on January 10, 2006. The provider is also known as Gladys A. Beale-Ganzhorn M.D..

Q: What is Gladys Beale's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Forensic Psychiatry, with taxonomy code 2084F0202X.

Q: When was this NPI record last updated?

The NPPES record for Gladys Beale was last updated on October 11, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Gladys A. Beale M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GLADYS A. BEALE M.D. (NPI 1164401063) is an individual forensic psychiatry provider in Fort Wayne, Indiana, licensed in Indiana (01052426A) and active in the NPI registry since January 2006.

NPPES Registry Identity

NPI1164401063

Entity TypeIndividualFemale

Primary Taxonomy2084F0202X

Provider Legal NameGLADYS A. BEALECredential: M.D.

Location Address1720 BEACON STFort Wayne, IN 46805-4749

Mailing Address11109 Parkview Plaza Dr # 117Fort Wayne, IN 46845-1701 · (260) 266-6013

Phone(260) 373-8000

Fax(260) 373-8034

Sole ProprietorNo

Enumeration DateJanuary 10, 2006

Last NPPES UpdateOctober 11, 20222 updates tracked since enumeration

NPPES CertifiedOctober 11, 2022

✔ NPI 1164401063 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Forensic PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084F0202X

License✔ Licensed in IN · 01052426A

Definition

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.

Also ListedPsychiatry & Neurology · Child & Adolescent PsychiatryTaxonomy 2084P0804X · License 01052426A (IN)

1720 BEACON ST, Fort Wayne, IN 46805

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Other Names 1

Other Name (5)Gladys A. Beale-ganzhorn M.d.

Other Identifiers 5

Other000000543920IN · Anthem

Medicaid2566067OH

Medicaid200274420IN

Other260043528Railroad Medicare

OtherP00466953IN · Railroad Medicare

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KEVIN L. MURPHY M.D.

Psychiatry & Neurology (Geriatric Psychiatry)