Shantrice Lashaun Gibson, PSY.D

Primary specialty

PsychologistTaxonomy code 103T00000X

License

P.08675 Issued in OH

Practice address

47185 Cooper Foster Park Rd
Amherst, OH 44001-3307

Phone

(440) 960-3954

Fax

(440) 960-3956

NPI assigned

Jul 8, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NE, OH2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Clinical Psychologist

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mercy Health Physicians Lorain LLCGroup PAC ID 1355474172, 41 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Mercy Health Physicians Lorain, LLC

  • Family Medicine Physician
  • Lorain, OH
  • NPI 1023347192
  Medicare reassignment Care Compare group NPD
• Morningstar Counseling and Consultation PC

  • Clinical Psychologist
  • Lincoln, NE
  • NPI 1689021677
  Medicare reassignment NPD
• Mercy Health Physicians Lorain Specialty Care LLC

  • Surgery Physician
  • Lorain, OH
  • NPI 1972126381
  Medicare reassignment
• Mercy Health Physicians, Lorain, LLC

  • Durable Medical Equipment & Medical Supplies
  • Oberlin, OH
  • NPI 1730724147
  NPD

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

{
    "created_epoch": "1215475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767312000000",
    "number": "1932362001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47185 COOPER FOSTER PARK RD",
            "city": "AMHERST",
            "state": "OH",
            "postal_code": "440013307",
            "telephone_number": "440-960-3954",
            "fax_number": "440-960-3956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47185 COOPER FOSTER PARK RD",
            "city": "AMHERST",
            "state": "OH",
            "postal_code": "440013307",
            "telephone_number": "440-960-3954",
            "fax_number": "440-960-3956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "SHANTRICE",
        "middle_name": "LASHAUN",
        "name_prefix": "Dr.",
        "credential": "PSY.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-08",
        "last_updated": "2026-01-02",
        "certification_date": "2026-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NE",
            "license": "795",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OH",
            "license": "P.08675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Frantz, PSY.D.
• Laurie Galvan, CNM
• Paul Andrew Garcia
• John Gaudry, PT
• Paige Gershman, M.A. S.L.P
• Lynnette Louise Gilles
• Rachel Lynn Gilligan, MOT, OTR/L, ATP
• Robert Goforth
• Samantha Dawn Golden, PHARMD
• Erin Gonzalez

• Psychologist in Amherst, OH
• Providers in Amherst, OH by specialty
• Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.