Andrew Scott Gibson, PHD

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

Practice address

11 N Irvine St Ste 6
Greenville, SC 29601-4902

Phone

(864) 656-5807

Fax

(864) 881-2725

NPI assigned

Jun 21, 2018

Sex

Male

Sole proprietor

Yes

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

Enrolled in SC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

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.

• Gibson Psychological Services LLC

  • Counseling Psychologist
  • Greenville, SC
  • NPI 1730960022
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1529539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673136000000",
    "number": "1083108187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 N IRVINE ST STE 6",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296014902",
            "telephone_number": "864-643-2735",
            "fax_number": "864-881-2725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 N IRVINE ST STE 6",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296014902",
            "telephone_number": "864-656-5807",
            "fax_number": "864-881-2725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "ANDREW",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-06-21",
        "last_updated": "2023-01-08",
        "certification_date": "2023-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Iannazzone Gibbons, F.N.P.
• Amy Gibbs, PHYSICAL THERAPIST
• Emily Gibbs
• Susanna Maria Gibbs, REGISTERED NURSE
• Gibson Psychological Services LLC
• Jill Emily Gibson, DDS
• Katherine Gibson
• Latoya D Gibson
• Misha Kay Gibson, LISW-CP
• Patricia K. Gibson

• Counseling Psychologist in Greenville, SC
• Providers in Greenville, SC by specialty
• Counseling Psychologist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.