Elizabeth Anne Gipson, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY 60338106 Issued in WA

Practice address

125 Bennett Ave
Hurlburt Field, FL 32544-5705

Phone

(850) 883-5719

NPI assigned

Aug 30, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Elizabeth Anne Farnell Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1283126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652832000000",
    "number": "1376859280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 BENNETT AVE",
            "city": "HURLBURT FIELD",
            "state": "FL",
            "postal_code": "325445705",
            "telephone_number": "850-883-5719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 BENNETT AVE",
            "city": "HURLBURT FIELD",
            "state": "FL",
            "postal_code": "325445705",
            "telephone_number": "850-883-5719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIPSON",
        "first_name": "ELIZABETH",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-30",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "PY 60338106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "FARNELL",
            "middle_name": "ANNE",
            "prefix": "MS.",
            "credential": "PSY.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jennifer Melissa Garcia
• Rafael David Garcia, IDMT
• Mitchell Andrew Garnick, PHARMD
• Joseph Christopher Garrett, D.P.T.
• Natalie L Gilbert, PT, DPT, ATC
• Ellie Goldense, LAT, ATC
• Ross Graham, M.D.
• William Guffin
• Kylie Hamilton, PA
• Cindy Hansill, LCSW

• Clinical Psychologist in Hurlburt Field, FL
• Providers in Hurlburt Field, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2022; 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.