Robert Gibson

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

22505 Woodroe Ave
Hayward, CA 94541-3410

Phone

(510) 537-1688

Fax

(510) 537-9222

NPI assigned

Jan 30, 2012

Sex

Male

Sole proprietor

Yes

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

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.

• Bay Area Community Services Inc

  • Community/Behavioral Health Agency
  • Vallejo, CA
  • NPI 1659770873
  NPD (past)

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

{
    "created_epoch": "1327881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327881600000",
    "number": "1477825909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1814 FRANKLIN ST FL 4",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946123487",
            "telephone_number": "510-613-0330",
            "fax_number": "510-569-4589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22505 WOODROE AVE",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945413410",
            "telephone_number": "510-537-1688",
            "fax_number": "510-537-9222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "ROBERT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-01-30",
        "last_updated": "2012-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Louanne Lane Giangreco, MD
• Amanda Marie Gibbs
• Laphonsa Gibbs, LCSW
• Jasiri Dejahn Gibson
• Jodie Gibson, DC
• Maxim Gikharev
• Douglas Salvador Gil
• Shelbe Gilder
• Harman Kaur Gill
• Divya Amara Gillespie

• Mental Health Counselor in Hayward, CA
• Providers in Hayward, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2012; 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.