Active NPI
Carla Ingrid Gibson, PH.D.
- Clinical Psychologist
- Casper, WY
National Provider Identifier
1376686394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 447
- Practice address
- 1522 E a St
Casper, WY 82601-2217 - Phone
- (307) 232-6096
- Fax
- (307) 232-6098
- NPI assigned
- Feb 15, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 447 | WY | Primary |
| Cognitive & Behavioral Psychologist | 103TB0200X | 447 | WY | |
| Group Psychotherapy Psychologist | 103TP2701X | 447 | WY | |
| Intellectual & Developmental Disabilities Psychologist | 103TM1800X | 447 | WY |
Addresses
Primary practice location
1522 E a St
Casper, WY 82601-2217
Mailing address
1522 E a St
Casper, WY 82601-2217
Phone (307) 232-6096
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 447 | WY | MD | Registered Dietitian |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Psychiatry Physician
- Casper, WY
- NPI 1356620579
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1388534400000",
"number": "1376686394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1522 E A ST",
"city": "CASPER",
"state": "WY",
"postal_code": "826012217",
"telephone_number": "307-232-6096",
"fax_number": "307-232-6098"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1522 E A ST",
"city": "CASPER",
"state": "WY",
"postal_code": "826012217",
"telephone_number": "307-232-6096",
"fax_number": "307-232-6098"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIBSON",
"first_name": "CARLA",
"middle_name": "INGRID",
"name_prefix": "Ms.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-15",
"last_updated": "2014-01-01",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "WY",
"license": "447",
"primary": true
},
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "WY",
"license": "447",
"primary": false
},
{
"code": "103TP2701X",
"taxonomy_group": "",
"desc": "Psychologist, Group Psychotherapy",
"state": "WY",
"license": "447",
"primary": false
},
{
"code": "103TM1800X",
"taxonomy_group": "",
"desc": "Psychologist, Intellectual & Developmental Disabilities",
"state": "WY",
"license": "447",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Casper, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.