Individual provider Active NPI

Rebecca M. Gibbons, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Harrison, NY
National Provider Identifier
1104547751
Registry record updated Nov 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
F404086 Issued in NY
Practice address
600 Mamaroneck Ave Ste 400
Harrison, NY 10528-1613
Phone
(914) 848-1112
Fax
(914) 259-5509
NPI assigned
Sep 12, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X F404086 NY Primary

Addresses

Primary practice location

600 Mamaroneck Ave Ste 400
Harrison, NY 10528-1613

Mailing address

600 Mamaroneck Ave Ste 400
Harrison, NY 10528-1613
Phone (914) 848-1112

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230117001322 NY Practitioner - Nurse Practitioner 3678944386 Reassigns benefits to 1 organization
Practice locations: Harrison, NY

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

600 Mamaroneck Ave
FL 4
Harrison, NY 10528-1613
Phone (914) 848-1112

600 Mamaroneck Ave FL
Suite 4
Harrison, NY 10528-1613

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F404086NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rebecca Gibbons, Nurse Practitioner in Psychiatry PLLC Psychiatric/Mental Health CurrentSince Aug 20, 2025 Accepting new patients

Locations

600 Mamaroneck Ave
Fl 4
Harrison, NY 10528
Phone (914) 671-3175

600 Mamaroneck Ave
Ste 400
Harrison, NY 10528
Phone (914) 315-4291

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1662940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763078400000",
    "number": "1104547751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 MAMARONECK AVE STE 400",
            "city": "HARRISON",
            "state": "NY",
            "postal_code": "105281613",
            "telephone_number": "914-848-1112",
            "fax_number": "914-259-5509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 MAMARONECK AVE STE 400",
            "city": "HARRISON",
            "state": "NY",
            "postal_code": "105281613",
            "telephone_number": "914-848-1112",
            "fax_number": "914-259-5509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBBONS",
        "first_name": "REBECCA",
        "middle_name": "M.",
        "name_prefix": "Ms.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-12",
        "last_updated": "2025-11-14",
        "certification_date": "2025-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F404086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrison, NY

Sources for this page

Verify at the official NPI Registry.