Active NPI
Jamel Gibbs, MS
- School Psychologist
- Metuchen, NJ
National Provider Identifier
1255819793
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- Practice address
- 300 Durham Ave
Metuchen, NJ 08840-1712 - Phone
- (732) 877-9112
- NPI assigned
- Aug 6, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | NY | Primary |
Addresses
Primary practice location
300 Durham Ave
Metuchen, NJ 08840-1712
Mailing address
300 Durham Ave
Metuchen, NJ 08840-1712
Phone (732) 877-9112
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2859605 | Other | NY | PROVISIONAL SCHOOL PSYCHOLOGIST CERTIFICATION |
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
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533513600000",
"number": "1255819793",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 DURHAM AVE",
"city": "METUCHEN",
"state": "NJ",
"postal_code": "088401712",
"telephone_number": "732-877-9112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 DURHAM AVE",
"city": "METUCHEN",
"state": "NJ",
"postal_code": "088401712",
"telephone_number": "732-877-9112"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIBBS",
"first_name": "JAMEL",
"credential": "MS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-08-06",
"last_updated": "2018-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "NY",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROVISIONAL SCHOOL PSYCHOLOGIST CERTIFICATION",
"identifier": "2859605",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Metuchen, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.