Organization Active NPI

Michael Gibbs

  • Community/Behavioral Health Agency
  • Philadelphia, PA
National Provider Identifier
1386020568
Registry record updated Aug 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
37PC00505300 Issued in NJ
Legal business name
MICHAEL GIBBS
Practice address
2443 Golf Rd
Philadelphia, PA 19131-1416
Phone
(215) 200-8298
NPI assigned
Aug 10, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2015

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

Authorized official

Name
Mr. Michael Gibbs, LPC
Title
Therapist
Phone
(215) 200-8298

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 37PC00505300 NJ Primary

Addresses

Primary practice location

2443 Golf Rd
Philadelphia, PA 19131-1416

Mailing address

2443 Golf Rd
Philadelphia, PA 19131-1416
Phone (215) 200-8298

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1439164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439164800000",
    "number": "1386020568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2443 GOLF RD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191311416",
            "telephone_number": "215-200-8298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2443 GOLF RD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191311416",
            "telephone_number": "215-200-8298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL GIBBS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-10",
        "last_updated": "2015-08-10",
        "status": "A",
        "authorized_official_last_name": "GIBBS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "215-200-8298",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NJ",
            "license": "37PC00505300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2015; 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.