Edward Bernard Gibeau, EDD

Primary specialty

Psychoanalysis PsychologistTaxonomy code 103TP0814X

License

3542 Issued in AZ

Practice address

4300 N Miller Rd
#110-07
Scottsdale, AZ 85251-3619

Phone

(480) 773-0823

NPI assigned

Jan 23, 2007

Last updated

Jun 29, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309305600000",
    "number": "1710031976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 N MILLER RD",
            "address_2": "#110-07",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852513619",
            "telephone_number": "480-773-0823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 N MILLER RD",
            "address_2": "#110-07",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852513619",
            "telephone_number": "480-773-0823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBEAU",
        "first_name": "EDWARD",
        "middle_name": "BERNARD",
        "credential": "EDD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-23",
        "last_updated": "2011-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TP0814X",
            "taxonomy_group": "",
            "desc": "Psychologist, Psychoanalysis",
            "state": "AZ",
            "license": "3542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madeline Giancola
• Debra Giardina, RN
• Michael J Gibbons, D.M.D.
• Tayler Anne Gibbons, PA-C
• Hannah Margareth Gibbs, MD
• Gibson Family Medicine P.C.
• Abegael Gibson
• Christine Patricia Gibson, DO
• Denice E Gibson, DNP, RN, CRNI, BMTCN
• Sarah Elizabeth Gibson, MD

• Psychoanalysis Psychologist in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Psychoanalysis Psychologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2011; 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.