Cornelia Gibson

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFC 50494 Issued in CA

Practice address

1652 W Texas St
Suite 204
Fairfield, CA 94533-6080

Phone

(707) 384-7303

Fax

(707) 247-4233

NPI assigned

Dec 21, 2006

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 names 1

• Ms. Cornelia Spencer Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340928000000",
    "number": "1700940806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 OLIVER RD",
            "address_2": "#285",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945343450",
            "telephone_number": "707-384-7303",
            "fax_number": "707-247-4233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1652 W TEXAS ST",
            "address_2": "SUITE 204",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945336080",
            "telephone_number": "707-384-7303",
            "fax_number": "707-247-4233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "CORNELIA",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-21",
        "last_updated": "2012-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 50494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CORNELIA",
            "last_name": "SPENCER",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sarbjot K Ghuman, M.D.
• Vivian Giang
• Nina Giannini
• Brooke Gibbins
• Aniya Gibson
• Angela Giese, MD
• Gill and Lambridis Dental Corporation (Fairfield Dentists Dental Group)
• Aniya Gill
• Craig Lund Gillespie, MD
• Jennifer Gilley, LPT

• Marriage & Family Therapist in Fairfield, CA
• Providers in Fairfield, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2012; 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.