Courtney McLauren Gibson, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2143 Issued in AL

Practice address

620 Paul Jones Circle
Portsmouth, VA 23517

Phone

(757) 953-7641

NPI assigned

Dec 7, 2016

Sex

Female

Sole proprietor

No

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

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: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1481068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671667200000",
    "number": "1285178384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 W 21ST ST APT 416",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235172374",
            "telephone_number": "251-776-8386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 PAUL JONES CIRCLE",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "23517",
            "telephone_number": "757-953-7641"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6350 Palm Trace Landings Dr",
            "address_2": "Apt. 208",
            "address_purpose": "LOCATION",
            "city": "Davie",
            "state": "FL",
            "postal_code": "333141838",
            "country_code": "US",
            "telephone_number": "251-776-8386",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "COURTNEY",
        "middle_name": "MCLAUREN",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-07",
        "last_updated": "2022-12-22",
        "certification_date": "2021-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AL",
            "license": "2143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Jason Gerber, MD
• Tyler J Gerwig, DO
• Kyleigh Getchell, DO
• Sarah Dawn Giacoman, D.D.S
• Trinity Gibbs
• Audrey Chastain Giering, PHARMD
• Ann Elizabeth Gietler, M.D
• Gifted Handz LLC
• Lauren Beth Giglia, DO
• Isabel Irene Gill, P.T., D.P.T.

• Clinical Psychologist in Portsmouth, VA
• Providers in Portsmouth, VA by specialty
• Clinical Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.