Organization Active NPI

Gibson Institute of Cognitive Research

  • Research Clinic/Center
  • Colorado Springs, CO
National Provider Identifier
1093331589
Registry record updated Jun 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Research Clinic/CenterTaxonomy code 261QR1100X
Legal business name
GIBSON INSTITUTE OF COGNITIVE RESEARCH
Practice address
5085 List Dr Ste 200C
Colorado Springs, CO 80919-3301
Phone
(719) 955-6716
NPI assigned
Jun 19, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2020

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

Authorized official

Name
Dr. Amy Moore, PHDNPI 1538785027
Title
Psychologist/Research Director
Phone
(719) 213-1052

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Research Clinic/Center 261QR1100X Primary

Addresses

Primary practice location

5085 List Dr Ste 200C
Colorado Springs, CO 80919-3301

Mailing address

5085 List Dr Ste 200C
Colorado Springs, CO 80919-3301
Phone (719) 955-6716

Other names 1

  • Gibson Institute of Cognitive Research, LLC Former legal business name

National Provider Directory

National Provider Directory

Locations

5085 List Dr
Ste 200C
Colorado Springs, CO 80919
Phone (719) 955-6716

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1592524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592524800000",
    "number": "1093331589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5085 LIST DR STE 200C",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809193301",
            "telephone_number": "719-955-6716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5085 LIST DR STE 200C",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809193301",
            "telephone_number": "719-955-6716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIBSON INSTITUTE OF COGNITIVE RESEARCH",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-19",
        "last_updated": "2020-06-19",
        "certification_date": "2020-06-19",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "PSYCHOLOGIST/RESEARCH DIRECTOR",
        "authorized_official_telephone_number": "719-213-1052",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QR1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Research",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gibson Institute of Cognitive Research, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2020; 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.