Paulette R Gibbons

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

MH14006 Issued in FL

Legal business name

PAULETTE R GIBBONS

Practice address

1830 Radius Dr
Apt 604
Hollywood, FL 33020-7702

Phone

(786) 374-8100

NPI assigned

May 4, 2017

Organization subpart

No

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

Authorized official

Name

Ms. Paulette Rene Gibbons, MS LMHC MCAP

Title

Therapist

Phone

(786) 374-8100

Specialties & licenses 2

Addresses

Practitioners 1

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

• Paulette Gibbons Maldonado, MS, LMHC, MCAP

  • Mental Health Counselor
  • Hollywood, FL
  • NPI 1336654987
  NPD (past)

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

{
    "created_epoch": "1493856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493856000000",
    "number": "1750817052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1830 RADIUS DR",
            "address_2": "APT 604",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330207702",
            "telephone_number": "786-374-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1830 RADIUS DR",
            "address_2": "APT 604",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330207702",
            "telephone_number": "786-374-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAULETTE R GIBBONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-04",
        "last_updated": "2017-05-04",
        "status": "A",
        "authorized_official_last_name": "GIBBONS",
        "authorized_official_first_name": "PAULETTE",
        "authorized_official_middle_name": "RENE",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "786-374-8100",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS LMHC MCAP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "MH14006",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "MCAP100270",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick Mulhall, PH.D,LCSW,PA
• Yureidy Patron Aguila
• Iani Patsias, M.D.
• Tasha Patterson, APRN
• Thomas Patullo, AP OTR
• Thamarre Paulino, NURSE PRACTITIONER
• Adrian Pavel
• Paul Pavilack, MD
• Vamsi Mohan Pavuluri, MD
• Jaelle Payoute

• Community/Behavioral Health Agency in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2017; 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.