Active NPI
Alicia K Franks Gibson, ED.S.
- School Psychologist
- Boca Raton, FL
National Provider Identifier
1447602248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 0461508
- Practice address
- 2840 NW 2ND Ave
Suite 104
Boca Raton, FL 33431-6694 - Phone
- (800) 233-5976
- NPI assigned
- Jul 6, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 0461508 | CO | Primary |
Addresses
Primary practice location
2840 NW 2ND Ave
Suite 104
Boca Raton, FL 33431-6694
Mailing address
4830 S Richfield Cir
Aurora, CO 80015-1838
Phone (303) 946-4369
Other names 1
- Mrs. Alicia K Balcerzak
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0461508 | CO | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1467763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1467763200000",
"number": "1447602248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4830 S RICHFIELD CIR",
"city": "AURORA",
"state": "CO",
"postal_code": "800151838",
"telephone_number": "303-946-4369"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2840 NW 2ND AVE",
"address_2": "SUITE 104",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334316694",
"telephone_number": "800-233-5976"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRANKS GIBSON",
"first_name": "ALICIA",
"middle_name": "K",
"name_prefix": "Mrs.",
"credential": "ED.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-06",
"last_updated": "2016-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "CO",
"license": "0461508",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ALICIA",
"last_name": "BALCERZAK",
"middle_name": "K",
"prefix": "MRS.",
"credential": "ED.S.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.