Active NPI
Barbara M Panther-Gibby, PSYD
- Clinical Psychologist
- Forest Grove, OR
National Provider Identifier
1942349089
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 1178
- Practice address
- 1911 Mountain View Lane
Ste. 500
Forest Grove, OR 97116-2248 - Phone
- (503) 357-0206
- Fax
- (503) 357-9003
- NPI assigned
- Feb 5, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 1178 | OR | Primary |
Addresses
Primary practice location
1911 Mountain View Lane
Ste. 500
Forest Grove, OR 97116-2248
Mailing address
1911 Mountain View Lane
Ste. 500
Forest Grove, OR 97116-2248
Phone (503) 357-0206
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 228839 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1178 | OR | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1442275200000",
"number": "1942349089",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1911 MOUNTAIN VIEW LANE",
"address_2": "STE. 500",
"city": "FOREST GROVE",
"state": "OR",
"postal_code": "971162248",
"telephone_number": "503-357-0206",
"fax_number": "503-357-9003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1911 MOUNTAIN VIEW LANE",
"address_2": "STE. 500",
"city": "FOREST GROVE",
"state": "OR",
"postal_code": "971162248",
"telephone_number": "503-357-0206",
"fax_number": "503-357-9003"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PANTHER-GIBBY",
"first_name": "BARBARA",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-05",
"last_updated": "2015-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "OR",
"license": "1178",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "228839",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Forest Grove, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.