Beverlee J Gibbs-Cassady, ED.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

3410 Issued in AZ

Practice address

416 N Kendrick St Ste 3
Flagstaff, AZ 86001-1598

Phone

(928) 774-7778

Fax

(928) 913-0891

NPI assigned

May 1, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Beverlee Gibbs-Cassady

  • Psychologist
  • Flagstaff, AZ
  • NPI 1841598059
  NPD (past) Authorized official

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257724800000",
    "number": "1720209307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 N KENDRICK ST STE 3",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860011598",
            "telephone_number": "928-774-7778",
            "fax_number": "928-913-0891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 N KENDRICK ST STE 3",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860011598",
            "telephone_number": "928-774-7778",
            "fax_number": "928-913-0891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBBS-CASSADY",
        "first_name": "BEVERLEE",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "ED.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-01",
        "last_updated": "2009-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "AZ",
            "license": "3410",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "AZ",
            "license": "3410",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AZ",
            "license": "3410",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Edward Gerner, PH.D.
• Burton Gershater, M.A.
• Colleen Gest, P.T.
• Becky Jean Gewald, MS CCC - SLP
• Montana Leeann Gia, PT
• James H Gibson, MD
• Kimberly Gibson, PHARMD
• Peter Desmond Gibson
• Sara Faith Gibson, MD
• Scott Howard Gibson, DO

• Psychologist in Flagstaff, AZ
• Providers in Flagstaff, AZ by specialty
• Psychologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2009; 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.