Devin Gibbs

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

283106 Issued in MA

Practice address

518 Great Rd
Acton, MA 01720-3415

Phone

(978) 263-4878

NPI assigned

Mar 23, 2017

Last updated

Nov 1, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Dec 7, 2022 through Dec 7, 2026

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Professional Counseling Services Inc

  dba Boundaries Therapy Center

  • Neurology Physician
  • Acton, MA
  • NPI 1477617306
  NPD (past)

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

{
    "created_epoch": "1490227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667260800000",
    "number": "1649701400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4711 STEARNS HILL RD",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024517148",
            "telephone_number": "336-689-2718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "518 GREAT RD",
            "city": "ACTON",
            "state": "MA",
            "postal_code": "017203415",
            "telephone_number": "978-263-4878"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Lexington St",
            "address_2": "Waltham Plaza #1042",
            "address_purpose": "LOCATION",
            "city": "Waltham",
            "state": "MA",
            "postal_code": "02451",
            "country_code": "US",
            "telephone_number": "617-286-4041",
            "fax_number": "602-560-0339",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIBBS",
        "first_name": "DEVIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-23",
        "last_updated": "2022-11-01",
        "certification_date": "2022-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "MA",
            "license": "283106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas H Gassert Jr., M.D.
• Kavitha Gazula, M.D.
• Gbaa Holdings, PLLC (Greater Boston Anesthesia Associates)
• Genoa Healthcare, LLC (Genoa, a QoL Healthcare Company, LLC)
• Pauline Etta Gerson, PSY.D.
• A Bethel Gilbert, LICSW
• Benjamin Gildehaus, M.A.
• Katherine Giles, MS, RD, LDN
• Lynn Marie Giles, LMHC
• Allessandro Girolamo Jr., M.D.

• Child & Adolescent Psychiatry Physician in Acton, MA
• Providers in Acton, MA by specialty
• Child & Adolescent Psychiatry Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2022; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.