Organization Active NPI

Lindsay C. Gibson, Psy.D. PLLC

  • Clinical Psychologist
  • Virginia Beach, VA
National Provider Identifier
1295068203
Registry record updated Sep 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
0810001252 Issued in VA
Legal business name
LINDSAY C. GIBSON, PSY.D. PLLC
Practice address
1 Columbus Ctr Ste 615
Virginia Beach, VA 23462-6783
Phone
(757) 490-7811
Fax
(757) 436-6433
NPI assigned
Sep 9, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2009

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

Authorized official

Name
Lindsay Carter Gibson, PSYD
Title
Member
Phone
(757) 490-7811

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 0810001252 VA Primary

Addresses

Primary practice location

1 Columbus Ctr Ste 615
Virginia Beach, VA 23462-6783

Mailing address

1 Columbus Ctr Ste 615
Virginia Beach, VA 23462-6783
Phone (757) 490-7811

National Provider Directory

National Provider Directory

Locations

1 Columbus Ctr
Ste 615
Virginia Beach, VA 23462
Phone (757) 490-7811

NPI Registry JSON

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

{
    "created_epoch": "1252454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252454400000",
    "number": "1295068203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 COLUMBUS CTR STE 615",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234626783",
            "telephone_number": "757-490-7811",
            "fax_number": "757-436-6433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 COLUMBUS CTR STE 615",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234626783",
            "telephone_number": "757-490-7811",
            "fax_number": "757-436-6433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINDSAY C. GIBSON, PSY.D. PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-09",
        "last_updated": "2009-09-09",
        "status": "A",
        "authorized_official_last_name": "GIBSON",
        "authorized_official_first_name": "LINDSAY",
        "authorized_official_middle_name": "CARTER",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "757-490-7811",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810001252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.