John D Gibbins, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY6106 Issued in CA

Practice address

4026 Everett Ave
Oakland, CA 94602-1761

Phone

(510) 537-2622

Fax

(928) 395-8087

NPI assigned

Jul 18, 2006

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 CA

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, 1977

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469664000000",
    "number": "1194744797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4024 EVERETT AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946021761",
            "telephone_number": "510-537-2622",
            "fax_number": "928-395-8087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4026 EVERETT AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946021761",
            "telephone_number": "510-537-2622",
            "fax_number": "928-395-8087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBBINS",
        "first_name": "JOHN",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2016-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY6106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Giacin
• Andrew John Giammona, M.D.
• John Andrew Gianitsis II, CRNA
• Christina Giannetti, PA
• Rhonda Frances Giarretto, MSN, RN, CNS
• Amanda Elizabeth Gibbon
• Blake Aaron Gibbs
• Cody Bruce Gibson, LMFT
• Elizabeth Virginia Gibson, MA, MFTI
• Jessica Gibson

• Clinical Psychologist in Oakland, CA
• Providers in Oakland, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2016; 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.