DR. JENNIFER L GIBSON (NPI# 1164544839) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164544839 |
| Entity Type | Individual |
| Full Name | DR. JENNIFER L GIBSON |
| Credential | PSYD |
| Practice Address |
2650 W Montrose Ave Suite 200 Chicago IL 60618-1560 |
| Mailing Address |
4334 N Bell Ave Chicago IL 60618-1610 |
| Practice Telephone | 8722056110 |
| Mailing Telephone | 3123165551 |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2014-10-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
071-007651 | IL | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
071007651 | IL | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
071-007651 | IL | Behavioral Health & Social Service Providers |
| N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
071-007651 | IL | Behavioral Health & Social Service Providers |
| N | 103TF0000X |
Psychologist Specialization: Family |
071-007651 | IL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063973006 | Jennifer Gibson | Technician | 7431 Gailey Ln, Houston, TX 77040-3417 | 2019-03-30 |
| 1063935062 | Jennifer Nichole Gibson | Nurse Practitioner | Liberty Hospital 2525 Glen Hendren Dr, Liberty, MO 64068 | 2017-07-21 |
| 1053729913 | Jennifer Jennings Gibson | Nurse Practitioner | 2524 S Philippe Ave, Gonzales, LA 70737-3749 | 2014-07-23 |
| 1194002162 | Jennifer Maureen Gibson | Nurse Practitioner | 1408 Campbell Dr Ste 200, Ironton, OH 45638-2301 | 2011-11-04 |
| 1619295235 | Jennifer Williams Gibson | Pharmacist | 2306 Chesnee Hwy Ste 1, Spartanburg, SC 29303-5507 | 2010-05-06 |
| 1114159001 | Jennifer Gibson | Counselor | 1743 1st Ave, 4b, New York, NY 10128-5900 | 2009-08-11 |
| 1144415118 | Jennifer Lynn Gibson | Speech-Language Pathologist | 4808 Lafite Ln, Colleyville, TX 76034-1247 | 2007-09-12 |
| 1265579445 | Jennifer Gibson | Massage Therapist | 6211 26th Ave Nw # A, Seattle, WA 98107-2401 | 2007-01-30 |
| 1144299900 | Jennifer M. Gibson | Internal Medicine | 3449 N Anchor St Ste 300a, Portland, OR 97217-7679 | 2006-03-15 |
| 1447883152 | Jennifer Anne Gibson | Counselor | 14600 Nw Cornell Rd, Portland, OR 97229-5442 | 2020-02-20 |
| Street Address |
2650 W MONTROSE AVE SUITE 200 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60618-1560 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841851342 | Melanie Higgins | Behavioral Analyst | 2650 W Montrose Ave, Chicago, IL 60618-1560 | 2019-06-25 |
| 1003211426 | Jennifer Gibson, Psyd | Psychologist | 2650 W Montrose Ave, Suite 200, Chicago, IL 60618-1560 | 2014-10-28 |
| 1265750293 | Better Sunrise Corporation | Clinic/Center | 2650 W Montrose Ave, Suite 207, Chicago, IL 60618-1560 | 2010-05-14 |
| 1235313610 | Hope Medical Supplies and Hospital Equipment Inc. | Durable Medical Equipment & Medical Supplies | 2650 W Montrose Ave, Suite 107, Chicago, IL 60618-1560 | 2007-12-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134741622 | Cvs Aoc Services, L.L.C. | Optometrist | 4051 North Lincoln, Store 8751, Chicago, IL 60618 | 2020-05-07 |
| 1699317404 | Joseph Thank Harmon | Registered Nurse | 5645 W Addison, Chicago, IL 60618 | 2019-10-14 |
| 1760952626 | Prep Performance Center, LLC | Clinic/Center | 4022 N Rockwell Street, Chicago, IL 60618 | 2018-12-04 |
| 1528540986 | Ruby Erdmann | Dietitian, Registered | 3126 N Kimball Ave. #3w, Chicago, IL 60618 | 2018-09-02 |
| 1962997064 | Living Roots Psychotherapy, LLC | Clinic/Center | 4310 N Spaulding Ave, Chicago, IL 60618 | 2018-06-30 |
| 1962920116 | Alif Muhammad | Counselor | 3819 W Cornelia Ave #2, Chicago, IL 60618 | 2017-09-07 |
| 1417471178 | Daniel Lee Mcmillan | Counselor | 3433 N. Ridgeway Ave, Apt G, Chicago, IL 60618 | 2017-08-03 |
| 1508380486 | Callie Weinberg | Social Worker | 2945 N Damen Ave, 1s, Chicago, IL 60618 | 2017-08-01 |
| 1275062697 | Melissa Ann Prest | Dietitian, Registered | 3258 W Warner Ave, Apt 2, Chicago, IL 60618 | 2017-06-08 |
| 1871951038 | Bionic Prosthetics and Orthotics Group LLC | Prosthetic/Orthotic Supplier | 4315 N. Lincoln Avenue, Chicago, IL 60618 | 2016-02-03 |
| Find all providers in zip 60618 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821699166 | Jennifer Knuepfer, Psyd, Pllc | Psychologist | 4256 N Ravenswood Ave Ste 305, Chicago, IL 60613-1114 | 2020-11-03 |
| 1104426170 | Grace Giedgowd | Psychologist | 1640 W Division St Apt 205, Chicago, IL 60622-3939 | 2020-10-29 |
| 1184223364 | Caroline Elisabeth Fulton | Psychologist | 1739 N Elston Ave, Chicago, IL 60642-1544 | 2020-10-20 |
| 1881293108 | Haley Michelle Sims | Psychologist | 65 E Wacker Pl Ste 300, Chicago, IL 60601-7203 | 2020-10-19 |
| 1285231936 | Qianhui Zhang | Psychologist | 1225 W Morse Ave Apt 403, Chicago, IL 60626-5751 | 2020-10-06 |
| 1316544158 | Nancy Marie Picard | Psychologist | 4885 N Hermitage Ave, Chicago, IL 60640-4104 | 2020-10-05 |
| 1730792151 | Jenny Marie Wamsat | Psychologist | 1921 W Diversey Pkwy Apt 402, Chicago, IL 60614-9412 | 2020-08-25 |
| 1497365910 | Sara Sirota | Psychologist | 5443 N Broadway St # 2s, Chicago, IL 60640-1703 | 2020-08-10 |
| 1053920512 | Alyse Renae Bedell | Psychologist | 5841 S Maryland Ave Ste 300, Chicago, IL 60637-1443 | 2020-07-30 |
| 1699392688 | Hongying Chen | Psychologist | 720 W Sheridan Rd Apt 3s, Chicago, IL 60613-3252 | 2020-06-25 |
| Find all providers in CHICAGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.