NPIMap

Organization Active NPI

Gibault, Inc.

  • Psychiatric Residential Treatment Facility
  • Terre Haute, IN
National Provider Identifier
1730487901
Registry record updated Aug 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
License
73856 Issued in IN
Legal business name
GIBAULT, INC.
Practice address
6401 S US Highway 41
Terre Haute, IN 47802-4749
Phone
(812) 298-3002
Fax
(812) 298-3044
NPI assigned
Mar 11, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2012

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

Authorized official

Name
Mrs. Michele Madley, MS LMHC
Title
Preident/Ceo
Phone
(812) 298-3002

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X 73856 IN Primary

Addresses

Primary practice location

6401 S US Highway 41
Terre Haute, IN 47802-4749

Mailing address

6401 S US Highway 41
Terre Haute, IN 47802-4749
Phone (812) 298-3002

Other identifiers 1

IdentifierTypeStateIssuer
201006620MedicaidIN

Other names 1

  • Gibault Children's Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Gibault Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1299801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346284800000",
    "number": "1730487901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6401 S US HIGHWAY 41",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478024749",
            "telephone_number": "812-298-3002",
            "fax_number": "812-298-3044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6401 S US HIGHWAY 41",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478024749",
            "telephone_number": "812-298-3002",
            "fax_number": "812-298-3044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIBAULT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-11",
        "last_updated": "2012-08-30",
        "status": "A",
        "authorized_official_last_name": "MADLEY",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_title_or_position": "PREIDENT/CEO",
        "authorized_official_telephone_number": "812-298-3002",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS LMHC"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "IN",
            "license": "73856",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201006620",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gibault Children's Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Terre Haute, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.