Active NPI
Gibault, Inc.
- Child Mental Illness Respite Care
- Terre Haute, IN
National Provider Identifier
1386713279
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child Mental Illness Respite Care
- License
- 32301
- Legal business name
- GIBAULT, INC.
- Practice address
- 6301 S US Hwy 41
Terre Haute, IN 47802-0316 - Phone
- (812) 299-1156
- NPI assigned
- Nov 7, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. James M Sinclair, MSSW, JD
- Title
- President Ceo
- Phone
- (812) 298-3002
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child Mental Illness Respite Care | 385HR2055X | 32301 | IN | Primary |
Addresses
Primary practice location
6301 S US Hwy 41
Terre Haute, IN 47802-0316
Mailing address
6301 S US Hwy 41
PO Box 2316
Terre Haute, IN 47802-0316
Phone (812) 299-1156
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200480150A | Medicaid | IN |
National Provider Directory
National Provider Directory- Tax ID family
- Gibault Inc
Other organizations with this tax ID 5
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Gibault Children's Services
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Terre Haute, IN
- NPI 1871749119
-
dba Gibault Children's Services
- Psychiatric Residential Treatment Facility
- Terre Haute, IN
- NPI 1730487901
-
dba Campagna Academy
- Psychiatric Residential Treatment Facility
- Schererville, IN
- NPI 1821796681
-
dba Gibault Children's Services
- Psychiatric Residential Treatment Facility
- Terre Haute, IN
- NPI 1982774246
Locations
6301 S US Highway 41
Terre Haute, IN 47802
Phone (812) 299-1156
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162857600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1216252800000",
"number": "1386713279",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6301 S US HWY 41",
"address_2": "PO BOX 2316",
"city": "TERRE HAUTE",
"state": "IN",
"postal_code": "478020316",
"telephone_number": "812-299-1156"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6301 S US HWY 41",
"city": "TERRE HAUTE",
"state": "IN",
"postal_code": "478020316",
"telephone_number": "812-299-1156"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GIBAULT, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-07",
"last_updated": "2008-07-17",
"status": "A",
"authorized_official_last_name": "SINCLAIR",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRESIDENT CEO",
"authorized_official_telephone_number": "812-298-3002",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MSSW, JD"
},
"taxonomies": [
{
"code": "385HR2055X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Mental Illness, Child",
"state": "IN",
"license": "32301",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200480150A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Terre Haute, IN
- Aleaha Ghant
- Milena Ghiday
- Srisamhita Vagdevi Ghorakavi
- Gibault , Inc. (Gibault Children's Services)
- Gibault Care, Inc.
- Gibault, Inc. (Gibault Children's Services)
- Gibault, Inc. (Gibault Children's Services)
- Gibault, Inc. - Waiver (Gibault Children's Services)
- Trista J Gibbons, MA, LMFT
- Abigail Gibson, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.