Linda Lee Gibson, M.D.

Primary specialty

PsychoanalystTaxonomy code 102L00000X

License

R7978 Issued in MO

Practice address

7751 Carondelet Ave
Ste. 605
Clayton, MO 63105-3316

Phone

(314) 721-7903

NPI assigned

Dec 1, 2010

Last updated

Dec 1, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1291161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291161600000",
    "number": "1629370275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7751 CARONDELET AVE",
            "address_2": "STE. 605",
            "city": "CLAYTON",
            "state": "MO",
            "postal_code": "631053316",
            "telephone_number": "314-721-7903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7751 CARONDELET AVE",
            "address_2": "STE. 605",
            "city": "CLAYTON",
            "state": "MO",
            "postal_code": "631053316",
            "telephone_number": "314-721-7903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "LINDA",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-01",
        "last_updated": "2010-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "102L00000X",
            "taxonomy_group": "",
            "desc": "Psychoanalyst",
            "state": "MO",
            "license": "R7978",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE NUMBER",
            "identifier": "R7978",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marisa Gelfand, M.ED, LPC, NCC
• Justin Daniel Gellman, BS
• Leigh H Gerard, MA,PLPC
• Gina Gershilevich, MA, PLPC
• Charity E Ghitalla, MA, LPC
• Gail Leslee Glenn
• Rachel Glik, EDD, LPC
• Go Rides Limited Liability Company
• Lauren Goldberger, LSW
• Herbert Goldman

• Psychoanalyst in Clayton, MO
• Providers in Clayton, MO by specialty
• Psychoanalyst in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2010; 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.