Laura E Gibson, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0480000821 Issued in VT

Practice address

33 Catherine St
Burlington, VT 05401-4838

Phone

(802) 238-2600

NPI assigned

May 16, 2006

Last updated

Nov 24, 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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Vermont Psychological Services: Leitenberg Center for Evidence-Based P

  • Clinical Psychologist
  • Burlington, VT
  • NPI 1598837593
  NPD (past)

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322092800000",
    "number": "1992757280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 CATHERINE ST",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054014838",
            "telephone_number": "802-238-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 CATHERINE ST",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054014838",
            "telephone_number": "802-238-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "LAURA",
        "middle_name": "E",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-16",
        "last_updated": "2011-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VT",
            "license": "0480000821",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1009529",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS",
            "identifier": "59513",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Alice Giannoni, N.P.
• Christopher Gibbs
• Debra M Gibbs, RPH
• Nicholas Gibney
• Erica J Gibson, MD
• Pamela Cox Gibson, M.D.
• Penelope M Gibson, PA
• Niels Geoffrey Giddins, MD
• Lora Giguere
• Sarah Ruth Gillett

• Clinical Psychologist in Burlington, VT
• Providers in Burlington, VT by specialty
• Clinical Psychologist in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 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.