Thomas Howard Gibson, PH D

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY8528 Issued in CA

Practice address

9834 Genesee Ave
Ste 321
La Jolla, CA 92037-1216

Phone

(858) 623-0131

Fax

(858) 623-0131

NPI assigned

Aug 4, 2006

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": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525824000000",
    "number": "1801804695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9834 GENESEE AVE",
            "address_2": "STE 321",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371216",
            "telephone_number": "858-623-0131",
            "fax_number": "858-623-0131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9834 GENESEE AVE",
            "address_2": "STE 321",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371216",
            "telephone_number": "858-623-0131",
            "fax_number": "858-623-0131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "THOMAS",
        "middle_name": "HOWARD",
        "credential": "PH D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2018-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY8528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Delfina Giannella, R. D. - C. D. E.
• Ngoc-Minh Giap, RPH
• Paul Gibbs, MD
• Douglas N. Gibson, M.D,
• John Daniel Gibson, D.D.S.
• Veronica Gibson
• Juan Samuel Gil Reynoso, RPH, PHARMD
• Saron Efrem Gilazgi, MD
• Avnish Gill, M.D.
• Manpreet Gill, MD

• Clinical Psychologist in La Jolla, CA
• Providers in La Jolla, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2018; 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.