Gilbert Psychological Services, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

GILBERT PSYCHOLOGICAL SERVICES, LLC

Practice address

5060 Cascade Rd SE Ste D
Grand Rapids, MI 49546-3808

Phone

(616) 454-2911

Fax

(616) 454-1126

NPI assigned

Jun 9, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mary Gilbert, PHDNPI 1760426779

Title

Owner

Phone

(616) 454-2911

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

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.

• Mary S Gilbert, PHD

  • Psychologist
  • Grand Rapids, MI
  • NPI 1760426779
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1496966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1336678671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5060 CASCADE RD SE STE D",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495463808",
            "telephone_number": "616-454-2911",
            "fax_number": "616-454-1126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5060 CASCADE RD SE STE D",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495463808",
            "telephone_number": "616-454-2911",
            "fax_number": "616-454-1126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GILBERT PSYCHOLOGICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-09",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "GILBERT",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-454-2911",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "6301010053",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Timothy H Gietzen, D.D.S.
• Andrea Lynn Giffel, NP
• Benjamin Giffen, MD
• Joylynn Julia Gil, BSW
• Zulema S Gil
• Brian Gilbert, M.S.P.T., OCS
• Christopher Robert-Emil Gilbert, MD
• Ian Walton Gilbert, DO, MS
• Kari Gilbert
• Leslie A Gilbert

• Mental Health Clinic/Center (Including Community Mental Health Center) in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.