Bertram St Cyr Linard Gibbes, PHD PSYCHOLOGIST

Primary specialty

PsychologistTaxonomy code 103T00000X

License

511 Issued in RI

Practice address

481A Kingstown Rd
Suite D4
Wakefield, RI 02879-3607

Phone

(401) 782-1667

Fax

(401) 782-1669

NPI assigned

Nov 27, 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 RI

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, 1992

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bertram Gibbes, PH.D., Inc.

  • Psychologist
  • Wakefield, RI
  • NPI 1134375363
  Medicare reassignment Authorized official
• Align Physical Therapy

  • Physical Therapy Clinic/Center
  • Wakefield, RI
  • NPI 1710367255
  NPD (past)
• Delta Consultants of South County Inc

  • Counselor
  • Wakefield, RI
  • NPI 1194877621

  Psychologist

  NPD (past)

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247529600000",
    "number": "1295801900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "481A KINGSTOWN RD",
            "city": "WAKEFIELD",
            "state": "RI",
            "postal_code": "028793607",
            "telephone_number": "401-782-1667",
            "fax_number": "401-782-1669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "481A KINGSTOWN RD",
            "address_2": "SUITE D4",
            "city": "WAKEFIELD",
            "state": "RI",
            "postal_code": "028793607",
            "telephone_number": "401-782-1667",
            "fax_number": "401-782-1669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBBES",
        "first_name": "BERTRAM",
        "middle_name": "ST CYR LINARD",
        "name_prefix": "Dr.",
        "credential": "PHD PSYCHOLOGIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-27",
        "last_updated": "2009-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "RI",
            "license": "511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Gannon
• Lillian Merrill Gates, OTR/L
• Shennel Martina Gelin, MD
• Beverly J Genader, APRN
• Douglas Bruce Genereux, PA-C
• Robert S Gilardetti, M.D.
• Chelsea Marie Gleeson, MS CCC-SLP
• Patrick Dean Glenn, PT
• Mercedes Marie Godin, PA-C
• Ana M Gonzalez-Dickenson, MSN, RN

• Psychologist in Wakefield, RI
• Providers in Wakefield, RI by specialty
• Psychologist in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2009; 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.