Active NPI
Gibson Family Therapy Inc
- Marriage & Family Therapist
- Fresno, CA
National Provider Identifier
1316703085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- Legal business name
- GIBSON FAMILY THERAPY INC
- Practice address
- 5588 N Palm Ave Ste 1
Fresno, CA 93704-1913 - Phone
- (559) 492-6635
- NPI assigned
- Feb 21, 2024
- Last updated
- Feb 21, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Barrett Gibson, AMFT
- Title
- Ceo
- Phone
- (559) 492-6635
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | Primary |
Addresses
Primary practice location
5588 N Palm Ave Ste 1
Fresno, CA 93704-1913
Mailing address
5588 N Palm Ave Ste 1
Fresno, CA 93704-1913
Phone (559) 492-6635
National Provider Directory
National Provider DirectoryLocations
5588 N Palm Ave
Ste 1
Fresno, CA 93704
Phone (559) 430-7348
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Marriage & Family Therapist
- Fresno, CA
- NPI 1417785007
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1708473600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1708473600000",
"number": "1316703085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5588 N PALM AVE STE 1",
"city": "FRESNO",
"state": "CA",
"postal_code": "937041913",
"telephone_number": "559-492-6635"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5588 N PALM AVE STE 1",
"city": "FRESNO",
"state": "CA",
"postal_code": "937041913",
"telephone_number": "559-492-6635"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GIBSON FAMILY THERAPY INC",
"organizational_subpart": "NO",
"enumeration_date": "2024-02-21",
"last_updated": "2024-02-21",
"certification_date": "2024-02-21",
"status": "A",
"authorized_official_last_name": "GIBSON",
"authorized_official_first_name": "BARRETT",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "559-492-6635",
"authorized_official_credential": "AMFT"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.