Vivien Gibson, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

402712 Issued in NY

Practice address

121 Red Schoolhouse Rd
Fishkill, NY 12524-2810

Phone

(845) 831-6600

NPI assigned

Jul 27, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Downstate Correctional Facilty

  • State or Local Public Health Clinic/Center
  • Fishkill, NY
  • NPI 1013306059
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1564185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564185600000",
    "number": "1033763198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 SYCAMORE DR",
            "city": "BEACON",
            "state": "NY",
            "postal_code": "125083926",
            "telephone_number": "845-943-8798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 RED SCHOOLHOUSE RD",
            "city": "FISHKILL",
            "state": "NY",
            "postal_code": "125242810",
            "telephone_number": "845-831-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "VIVIEN",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-27",
        "last_updated": "2019-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "402712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George J. Kaknis, OD
• Allen Gerber, M.D.
• Amanda Garrett Gesten, PA
• James Helmy Ghabour, PHARMD.
• Sarah B Giacalone, OTR/L, CHT
• Deborah Gail Gildener, RN ESQ
• Jorge Giron, DPT
• Gabriella Nicole Gizzo
• Maria I Goldschmidt
• Lygia Gomez, RPH

• Psychiatric/Mental Health Nurse Practitioner in Fishkill, NY
• Providers in Fishkill, NY by specialty
• Psychiatric/Mental Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.