Maureen Alice Bibby, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

2424 Issued in TN

Practice address

121 Boone St
#36
Jonesborough, TN 37659-1336

Phone

(423) 329-6057

NPI assigned

Jul 22, 2006

Last updated

Dec 29, 2011By the provider in NPPES

Sex

Female

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)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325116800000",
    "number": "1992726988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 36",
            "city": "JONESBOROUGH",
            "state": "TN",
            "postal_code": "376590036",
            "telephone_number": "423-329-6057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 BOONE ST",
            "address_2": "#36",
            "city": "JONESBOROUGH",
            "state": "TN",
            "postal_code": "376591336",
            "telephone_number": "423-329-6057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIBBY",
        "first_name": "MAUREEN",
        "middle_name": "ALICE",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-22",
        "last_updated": "2011-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TN",
            "license": "2424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Lakyn Bradley, PT DPT
• Gordon Alan Britton Jr., P.A

• Psychologist in Jonesborough, TN
• Providers in Jonesborough, TN by specialty
• Psychologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 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.