Ross L Gibson, LLP

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6301003874 Issued in MI

Practice address

548 S Main St
Ann Arbor, MI 48104-2921

Phone

(734) 707-1052

NPI assigned

Sep 10, 2018

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

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Integrative Services PLLC

  • Psychiatry Physician
  • Ann Arbor, MI
  • NPI 1275085375
  NPD (past)

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

{
    "created_epoch": "1536537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536537600000",
    "number": "1386127017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14175 TRALEE DR",
            "city": "CEMENT CITY",
            "state": "MI",
            "postal_code": "492339661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "548 S MAIN ST",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481042921",
            "telephone_number": "734-707-1052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "ROSS",
        "middle_name": "L",
        "credential": "LLP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-09-10",
        "last_updated": "2018-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301003874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Claire Gibson
• Erin Elizabeth Gibson, RN BSN
• Krystal Gibson
• Paul Randolph Gibson II, NP
• Phyllis Anne Gibson, MS, RN
• Shaleta Elaine Gibson, AUD
• Thomas H Gibson Jr., D.C.
• Molly Ann Gidley, PA-C
• Daniel Lee Giesler, MD
• Zubair Abdul Giga, PHARMD

• Clinical Psychologist in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2018; 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.