Matthew Gibson

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

120 W Eastman St
Suite 102
Arlington Heights, IL 60004-5937

Phone

(847) 873-1505

Fax

(847) 221-8285

NPI assigned

May 12, 2014

Last updated

Nov 3, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1399852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446508800000",
    "number": "1386055408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 W EASTMAN ST",
            "address_2": "SUITE 102",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600045937",
            "telephone_number": "847-873-1505",
            "fax_number": "847-221-8285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 W EASTMAN ST",
            "address_2": "SUITE 102",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600045937",
            "telephone_number": "847-873-1505",
            "fax_number": "847-221-8285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "MATTHEW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-12",
        "last_updated": "2015-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Soha Nadim Ghossaini, M.D.
• Mario Peter Giacomuzzi, PSYD PC
• Marlisa Giacone
• Stephen Gianopulos
• Avis Gibons, M.S., C.G.C.
• Charles Frank Gilbert
• Jackie M. Gillespie-Stokland, ATC
• Gina S. Gilomen-Study, PHARM.D., PH.D.
• Mary C Gilsenan
• Jaime Marie Ginsberg, DPT

• Behavior Analyst in Arlington Heights, IL
• Providers in Arlington Heights, IL by specialty
• Behavior Analyst in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.