NPIMap

Organization Active NPI

Beverlee Gibbs-Cassady

  • Psychologist
  • Flagstaff, AZ
National Provider Identifier
1841598059
Registry record updated Mar 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
3410 Issued in AZ
Legal business name
BEVERLEE GIBBS-CASSADY
Practice address
416 N Kendrick St
Suite 3
Flagstaff, AZ 86001-1598
Phone
(928) 774-7778
Fax
(928) 913-0891
NPI assigned
Mar 11, 2011
Last updated
Mar 11, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2011

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

Authorized official

Name
Dr. Beverlee J Gibbs-Cassady, ED.D.NPI 1720209307
Title
Owner
Phone
(928) 774-7778

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 3410 AZ Primary

Addresses

Primary practice location

416 N Kendrick St
Suite 3
Flagstaff, AZ 86001-1598

Mailing address

416 N Kendrick St
Suite 3
Flagstaff, AZ 86001-1598
Phone (928) 774-7778

National Provider Directory

National Provider Directory

Locations

416 N Kendrick St
Ste 3
Flagstaff, AZ 86001
Phone (928) 774-7778

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

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": "1299801600000",
    "number": "1841598059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 N KENDRICK ST",
            "address_2": "SUITE 3",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860011598",
            "telephone_number": "928-774-7778",
            "fax_number": "928-913-0891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 N KENDRICK ST",
            "address_2": "SUITE 3",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860011598",
            "telephone_number": "928-774-7778",
            "fax_number": "928-913-0891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEVERLEE GIBBS-CASSADY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-11",
        "last_updated": "2011-03-11",
        "status": "A",
        "authorized_official_last_name": "GIBBS-CASSADY",
        "authorized_official_first_name": "BEVERLEE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "928-774-7778",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ED.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "AZ",
            "license": "3410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flagstaff, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2011; 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.