Organization Active NPI

T. Ann Gibbons, PH.D., P.a.

  • Clinical Psychologist
  • Sarasota, FL
National Provider Identifier
1689964702
Registry record updated Apr 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY5092 Issued in FL
Legal business name
T. ANN GIBBONS, PH.D., P.A.
Practice address
4370 S Tamiami TRL
Ste 324
Sarasota, FL 34231-3412
Phone
(941) 922-6262
Fax
(941) 925-5899
NPI assigned
Apr 11, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2011

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

Authorized official

Name
Dr. T. Ann Gibbons, PH.D.NPI 1346399474
Title
President
Phone
(941) 922-6262

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PY5092 FL Primary

Addresses

Primary practice location

4370 S Tamiami TRL
Ste 324
Sarasota, FL 34231-3412

Mailing address

4370 S Tamiami TRL
Ste 324
Sarasota, FL 34231-3412
Phone (941) 922-6262

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110607000587 FL Part B Supplier - Clinic/Group Practice 2668659202 Receives reassigned benefits from 1 practitioner
Practice locations: Sarasota, FL

National Provider Directory

National Provider Directory

Locations

4370 S Tamiami Trl
Ste 324
Sarasota, FL 34231
Phone (941) 922-6262

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1302480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302480000000",
    "number": "1689964702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4370 S TAMIAMI TRL",
            "address_2": "STE 324",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342313412",
            "telephone_number": "941-922-6262",
            "fax_number": "941-925-5899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4370 S TAMIAMI TRL",
            "address_2": "STE 324",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342313412",
            "telephone_number": "941-922-6262",
            "fax_number": "941-925-5899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "T. ANN GIBBONS, PH.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-11",
        "last_updated": "2011-04-11",
        "status": "A",
        "authorized_official_last_name": "GIBBONS",
        "authorized_official_first_name": "T.",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "941-922-6262",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY5092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.