Active NPI
Katherine Frawley Gibson, PSY.D.
- Clinical Psychologist
- New York, NY
National Provider Identifier
1639352016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 018505
- Practice address
- 57 W 57TH St Ste 1007
New York, NY 10019-2802 - Phone
- (212) 658-0110
- NPI assigned
- Dec 9, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 018505 | NY | Primary |
| Clinical Psychologist | 103TC0700X | PY8934 | FL |
Addresses
Primary practice location
57 W 57TH St Ste 1007
New York, NY 10019-2802
Mailing address
57 W 57TH St Ste 1007
New York, NY 10019-2802
Phone (212) 658-0110
Other practice location 1
4071 Bee Ridge Rd Ste 204
Sarasota, FL 34233-2542
Phone (941) 357-4090
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00245029 | Medicaid | NY |
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 |
|---|---|---|---|
| PY8934 | FL | MD | Clinical Psychologist |
| 018505 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Parent and Child Psychological Services PLLC | Clinical | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1590451200000",
"number": "1639352016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "57 W 57TH ST STE 1007",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100192802",
"telephone_number": "212-658-0110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "57 W 57TH ST STE 1007",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100192802",
"telephone_number": "212-658-0110"
}
],
"practiceLocations": [
{
"address_1": "4071 Bee Ridge Rd Ste 204",
"address_purpose": "LOCATION",
"city": "Sarasota",
"state": "FL",
"postal_code": "342332542",
"country_code": "US",
"telephone_number": "941-357-4090",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GIBSON",
"first_name": "KATHERINE",
"middle_name": "FRAWLEY",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-12-09",
"last_updated": "2020-05-26",
"certification_date": "2020-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "018505",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "PY8934",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00245029",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.