Yulia Gibney, WHNP- BC, PMHNP- BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

RN2280839 Issued in MA

Practice address

100 Highland Ave Ste 204
Salem, MA 01970-2702

Phone

(781) 244-0115

NPI assigned

Oct 4, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Alta Mental Health LLCGroup PAC ID 2668885906, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Alta Mental Health LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Salem, MA
  • NPI 1346876729

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Essex County OBGYN Assoc Inc

  • Obstetrics & Gynecology Physician
  • Beverly, MA
  • NPI 1538275870

  Single Specialty

  Medicare reassignment NPD

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

{
    "created_epoch": "1507075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703030400000",
    "number": "1629588629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HIGHLAND AVE STE 204",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019702702",
            "telephone_number": "781-244-0115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HIGHLAND AVE STE 204",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019702702",
            "telephone_number": "781-244-0115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBNEY",
        "first_name": "YULIA",
        "name_prefix": "Mrs.",
        "credential": "WHNP- BC, PMHNP- BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-04",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "MA",
            "license": "RN2280839",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2280839",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANCC PMHNP CERTIFICATION",
            "identifier": "2023124341",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASSACHUSETTS NP LICENSE",
            "identifier": "RN2280839",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCC CERTIFICATION",
            "identifier": "104409204",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vincent John Gennaco, M.A.
• Bethany Gentleman, NP
• Romany Gerges
• Get Curious LLC
• Faris Marwan Ali Ghannam, MD
• Kaidian A Gilbert
• Tracy Erin Gilmore, MSW
• Roxanne Gilmour
• Krista Nicole Giordano, LCSW
• Mark Girard, MD

• Psychiatric/Mental Health Nurse Practitioner in Salem, MA
• Providers in Salem, MA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.