Gibson Psychological Services LLC

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

Legal business name

GIBSON PSYCHOLOGICAL SERVICES LLC

Practice address

11 N Irvine St Ste 5&6
Greenville, SC 29601-4900

Phone

(864) 643-2735

NPI assigned

Oct 11, 2023

Organization subpart

No

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

Authorized official

Name

Andrew Scott Gibson, PHDNPI 1083108187

Title

Psychologist

Phone

(864) 643-2735

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

Practitioners 1

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

• Andrew Scott Gibson, PHD

  • Counseling Psychologist
  • Greenville, SC
  • NPI 1083108187
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1696982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701129600000",
    "number": "1730960022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 N IRVINE ST STE 5&6",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296014900",
            "telephone_number": "864-643-2735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 N IRVINE ST STE 5&6",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296014900",
            "telephone_number": "864-643-2735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIBSON PSYCHOLOGICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-11",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-28",
        "status": "A",
        "authorized_official_last_name": "GIBSON",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "864-643-2735",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ellie Jo Gibbens, PA-C
• Julie Iannazzone Gibbons, F.N.P.
• Amy Gibbs, PHYSICAL THERAPIST
• Emily Gibbs
• Susanna Maria Gibbs, REGISTERED NURSE
• Andrew Scott Gibson, PHD
• Jill Emily Gibson, DDS
• Katherine Gibson
• Latoya D Gibson
• Misha Kay Gibson, LISW-CP

• Counseling Psychologist in Greenville, SC
• Providers in Greenville, SC by specialty
• Counseling Psychologist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2023; 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.