Active NPI
Rebekah Gingras, PSYD
- Psychologist
- Fort Liberty, NC
National Provider Identifier
1225495120
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 4871
- Practice address
- Womack Army Medical Center, Dobh
2817 Rock Merritt Ave
Fort Liberty, NC 28310 - Phone
- (910) 907-6825
- NPI assigned
- Jan 22, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 4871 | AZ | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
Womack Army Medical Center, Dobh
2817 Rock Merritt Ave
Fort Liberty, NC 28310
Mailing address
Womack Army Medical Center, Dobh
2817 Rock Merritt Ave
Fort Liberty, NC 28310
Phone (910) 907-6825
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4871 | AZ | MD | Surgical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1453420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695600000000",
"number": "1225495120",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "WOMACK ARMY MEDICAL CENTER, DOBH",
"address_2": "2817 ROCK MERRITT AVE",
"city": "FORT LIBERTY",
"state": "NC",
"postal_code": "28310",
"telephone_number": "910-907-6825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "WOMACK ARMY MEDICAL CENTER, DOBH",
"address_2": "2817 ROCK MERRITT AVE",
"city": "FORT LIBERTY",
"state": "NC",
"postal_code": "28310",
"telephone_number": "910-907-6825"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GINGRAS",
"first_name": "REBEKAH",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-01-22",
"last_updated": "2023-09-25",
"certification_date": "2023-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "AZ",
"license": "4871",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Liberty, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.