Christopher Justin Gideon, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

4351048355 Issued in MI

Practice address

209 E Washington Ave Ste 395
Jackson, MI 49201-2475

Phone

(808) 480-5420

NPI assigned

Mar 11, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Specialty

Psychiatry

Education

R Franklin University of Med & Sci/Chicago Medical School, 2021

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Muku LLC

  • Psychiatry Physician
  • Honolulu, HI
  • NPI 1942180872
  NPD Authorized official

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

{
    "created_epoch": "1583884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763942400000",
    "number": "1104451087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1164 BISHOP ST",
            "address_2": "STE 940 #627",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 E WASHINGTON AVE STE 395",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492012475",
            "telephone_number": "808-480-5420"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1164 BISHOP ST",
            "address_2": "STE 940 #627",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968132810",
            "country_code": "US",
            "telephone_number": "808-480-5420",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIDEON",
        "first_name": "CHRISTOPHER",
        "middle_name": "JUSTIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-11",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "HI",
            "license": "MD-25655-0",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4351048355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jzsa-Jaza Gibson
• Kathryn Michelle Gibson
• Katie Paula Gibson, MA, LLPC
• Kelsey Elaine Gibson
• Paige Katherine Gibson, PA-C
• Kayla Rose Gietek
• Alison Erika Gilbert, AUD
• Briana Gilbert
• Roger Gilg
• Jasreen Kaur Gill, MD

• Psychiatry Physician in Jackson, MI
• Providers in Jackson, MI by specialty
• Psychiatry Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2025; 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.