DR. CHRISTINE A GIBBON (NPI# 1295950368) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1295950368 |
Entity Type | Individual |
Full Name | DR. CHRISTINE A GIBBON |
Credential | PHD LP LLC |
Practice Address |
5101 Olson Memorial Hwy Ste 4002 Golden Valley MN 55422-5164 |
Practice Telephone | 7635957294 |
Practice Fax Number | 7635957293 |
Mailing Telephone | 7635957294 |
Mailing Fax Number | 7635957293 |
Enumeration Date | 2007-04-16 |
Last Update Date | 2014-11-09 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103T00000X | Psychologist | LP4789 | MN | Behavioral Health & Social Service Providers |
N | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
LP4789 | MN | Behavioral Health & Social Service Providers |
N | 103TC0700X |
Psychologist Specialization: Clinical |
LP4789 | MN | Behavioral Health & Social Service Providers |
N | 103TC1900X |
Psychologist Specialization: Counseling |
LP4789 | MN | Behavioral Health & Social Service Providers |
N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
LP4789 | MN | Behavioral Health & Social Service Providers |
N | 103TH0100X |
Psychologist Specialization: Health Service |
LP4789 | MN | Behavioral Health & Social Service Providers |
Street Address |
5101 OLSON MEMORIAL HWY STE 4002 |
City | GOLDEN VALLEY |
State | MN |
Zip Code | 55422-5164 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659542884 | Lynda Richtsmeier Cyr, Ph.d., L.p., LLC | Clinic/Center | 5101 Olson Memorial Hwy Ste 4002, Golden Valley, MN 55422-5164 | 2008-03-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154966794 | Trevor Velin | Chiropractor | Robin Center Chiropractic, Pa, 4080 W Broadway Ave, 310, Robbinsdale, MN 55422 | 2019-11-07 |
1780165134 | American Current Care of Minnesota PC | Clinic/Center | 4080 W Broadway Ave Ste 200, Robbinsdale, MN 55422 | 2018-08-23 |
1366928426 | Creekside Family Dental Pllc | Dentist | Giebenhain Dental Associates, P.a., 5851 Duluth Street # 103, Golden Valley, MN 55422 | 2018-07-12 |
1497249536 | Luke Utecht | Psychologist | 4150 Olson Memorial Hwy, Suite 420, Golden Valley, MN 55422 | 2018-06-21 |
1821582115 | Ajaa Oliver | Registered Nurse | 3606 Zenith Ave N, Robbinsdale, MN 55422 | 2018-06-19 |
1306348024 | Leila Jean Erlandson | Marriage & Family Therapist | Golden Valley Executive Center, 4284 Dahlberg Drive, Golden Valley, MN 55422 | 2018-03-08 |
1467969907 | Minneapolis Health Clinic Pllc | Internal Medicine | 4825 Olson Memorial Hwy., Suite 101, Golden Valley, MN 55422 | 2018-01-05 |
1275049116 | Lake Town Homecare, LLC | In Home Supportive Care | 4119 Scott Ave N, Robbinsdale, MN 55422 | 2017-12-14 |
1750894002 | Unihealth Home Care, LLC | Home Health | 1710 Douglas Dr N Ste 226j, Golden Valley, MN 55422 | 2017-11-08 |
1194172296 | Crosscultural Health Care Inc | Home Health | 5801 Duluth Street Suite 310, Golden Valley, MN 55422 | 2016-05-18 |
Find all providers in zip 55422 |
Taxonomy Code | 103T00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
Notes: Source: American Psychological Association [1/1/2007: modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497249536 | Luke Utecht | Psychologist | 4150 Olson Memorial Hwy, Suite 420, Golden Valley, MN 55422 | 2018-06-21 |
1518084326 | Jennifer L. Holt, Ph.d., LLC | Psychologist | 2350 Kewanee Way, Golden Valley, MN 55422-3822 | 2007-03-25 |
1639223431 | David Henry Hoy | Psychologist | 8401 Wayzata Blvd, Suite 370, Golden Valley, MN 55426-1343 | 2007-01-22 |
1548321680 | Elaine R. Wynne | Psychologist | 315 Georgia Ave N, Golden Valley, MN 55427-4978 | 2006-12-13 |
1114087236 | Dennis Lee Flom | Psychologist | 1520 Xenia Ave N, Golden Valley, MN 55422-4433 | 2006-12-11 |
1700954005 | Robert K Vucinovich | Psychologist | 80 Hampshire Ave N, Golden Valley, MN 55427-4923 | 2006-12-04 |
1063591147 | Susan M Hendrickson | Psychologist | 8085 Wayzata Blvd Ste 216, Golden Valley, MN 55426-1459 | 2006-11-02 |
1770593493 | Marilyn Henken | Psychologist | 5520 Loring Ln, Golden Valley, MN 55422-5004 | 2006-08-08 |
1487681474 | Michelle A Schmid-egleston | Psychologist | 8401 Wayzata Blvd Ste 370, Golden Valley, MN 55426-1379 | 2006-06-27 |
1922046481 | Diann M Ackard | Psychologist | 5101 Olson Memorial Hwy, #4001, Golden Valley, MN 55422-5149 | 2006-06-04 |
Find all providers in GOLDEN VALLEY |
City | GOLDEN VALLEY |
Zip Code | 55422 |
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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.