Robert Gwyn Gibby Jr., PH.D.

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

0810000686 Issued in VA

Practice address

1601 Rolling Hills Dr
Suite 200
Richmond, VA 23229-5011

Phone

(804) 249-8302

NPI assigned

Oct 17, 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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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.

• Cletus C Aralu MD LLC

  • Neurology Physician
  • Richmond, VA
  • NPI 1720314677
  NPD (past)
• Community Neurological Services, LLC

  • Specialist
  • Richmond, VA
  • NPI 1154374296
  NPD (past)

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811077183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 478",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231130478",
            "telephone_number": "804-794-8171",
            "fax_number": "804-794-3787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 ROLLING HILLS DR",
            "address_2": "SUITE 200",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232295011",
            "telephone_number": "804-249-8302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBBY",
        "first_name": "ROBERT",
        "middle_name": "GWYN",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "VA",
            "license": "0810000686",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "453076",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7705689",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Giant Food Stores, LLC
• Marielle Giardini, PT, DPT
• Colleen Gibbons
• Janine L Gibbons, CRNA
• Barnett T Gibbs, M.D., FACC
• Janice Lynn Gibson-Neale, M.D.
• Aleena Gibson
• Anna Elizabeth Gibson
• Catherine Gibson, APRN, PMHNP-BC
• Douglas P Gibson, PSY.D.

• Clinical Neuropsychologist in Richmond, VA
• Providers in Richmond, VA by specialty
• Clinical Neuropsychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.