Gibraltar Psychiatric Services, Inc

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

GIBRALTAR PSYCHIATRIC SERVICES, INC

Practice address

540 W Iron Ave Ste 204
Mesa, AZ 85210-6027

Phone

(623) 210-2080

NPI assigned

Mar 30, 2026

Last updated

Mar 30, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Ewaryst Jedrasik, RNNPI 1124103395

Title

Ceo

Phone

(623) 210-2080

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ewaryst Jedrasik, RN

  • Registered Nurse
  • Piscataway, NJ
  • NPI 1124103395
  NPD Authorized official

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

{
    "created_epoch": "1774828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774828800000",
    "number": "1558201897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 W IRON AVE STE 204",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852106027",
            "telephone_number": "623-210-2080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 W IRON AVE STE 204",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852106027",
            "telephone_number": "623-210-2080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIBRALTAR PSYCHIATRIC SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-30",
        "last_updated": "2026-03-30",
        "certification_date": "2026-03-29",
        "status": "A",
        "authorized_official_last_name": "JEDRASIK",
        "authorized_official_first_name": "EWARYST",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "623-210-2080",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ria Ghose Kundu, M.D.
• Laurie Giacoletto, PA-C
• Andrew Carl Arland Gibbons III, M.S.
• Laci Gibbons
• Mary E Gibbons, M.M.E.
• Carla Gibson
• Debra K Gibson, PMHNP-BC
• Maria V Gibson, MD
• Nadine Gibson, DPT
• Anitha Gidla, M.D

• Mental Health Clinic/Center (Including Community Mental Health Center) in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2026; 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.