ZACHARY MICHAEL GIBSON (NPI# 1609356906) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609356906 |
| Entity Type | Individual |
| Full Name | ZACHARY MICHAEL GIBSON |
| Practice Address |
1548 Bond St Ste 114 Naperville IL 60563 |
| Mailing Address |
230 Duane St Apt 2d Glen Ellyn IL 60137-4371 |
| Practice Telephone | 6307179408 |
| Practice Fax Number | 6305968496 |
| Mailing Telephone | 6186041603 |
| Enumeration Date | 2018-08-16 |
| Last Update Date | 2018-08-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
180011683 | IL | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2100 Manchester Rd Bldg B930, Wheaton, IL 601874579 | 6186041603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588264121 | Zachary Gibson | Pharmacist | 701 Walton Dr, Farmington, MO 63640-1950 | 2020-10-30 |
| 1447871710 | Zachary John Gibson | Emergency Medicine | 1501 N Campbell Avenue, Tucson, AZ 85724-5057 | 2020-04-28 |
| 1255966065 | Zachary Gibson | Counselor | 1319 Florencedale Ave, Youngstown, OH 44505-2719 | 2020-03-12 |
| 1245667062 | Zachary Mccormick Gibson | Counselor | 5511 Staples Mill Rd, Richmond, VA 23228-5445 | 2013-10-11 |
| 1679916472 | Zachary Gibson | Emergency Medicine | 5955 Zeamer Ave, 673d Mdg, Jber, AK 99506-3702 | 2013-04-10 |
| Street Address |
1548 BOND ST STE 114 |
| City | NAPERVILLE |
| State | IL |
| Zip Code | 60563 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336690239 | 360 Youth Services | Counselor | 1548 Bond St Ste 114, Naperville, IL 60563-6509 | 2016-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902884 | Julia Ann Gottschalk | Nurse Practitioner | 1979 Mcdowell Rd, Unit 103, Naperville, IL 60563 | 2020-11-06 |
| 1700484847 | Lee Michael Harms I | Social Worker | 1952 Mcdowell Road, Suite 305, Naperville, IL 60563 | 2020-10-12 |
| 1881208478 | Poornima Swamy Gangaji | Dentist | 760 N, Illinois Rte 59, Ste100, Naperville, IL 60563 | 2020-09-01 |
| 1851901219 | Adiana Lebron | Social Worker | 2948 Artestian Road, Naperville, IL 60563 | 2020-07-31 |
| 1194342014 | Ingrid Lara | Behavioral Analyst | 1975 Mcdowell Rd #101, Naperville, IL 60563 | 2020-06-26 |
| 1396383030 | Jack Kelly | Assistant Behavior Analyst | 1975 Mcdowell Rd. #101, Naperville, IL 60563 | 2019-12-12 |
| 1316583529 | Arvind Ramakrishnan | Behavioral Analyst | 1975 Mcdowell Rd., Naperville, IL 60563 | 2019-11-22 |
| 1679115778 | Melissa Macias | Behavioral Analyst | 1975 Mcdowell Road, #101, Naperville, IL 60563 | 2019-10-10 |
| 1629619275 | Meghann Reid Vizintos | Physician Assistant | 1763 Freedom Dr Ste 117, Naperville, IL 60563 | 2019-10-04 |
| 1417413543 | Vikram Singh Cheema | Physician Assistant | 1335 North Mill Street, Naperville, IL 60563 | 2019-02-13 |
| Find all providers in zip 60563 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932706371 | Rakhi Shingala | Counselor | Legacy Clinical Consultant, 13717 S. Route 30, 159, Naperville, IL 60544 | 2020-10-08 |
| 1821603895 | Laura M Murray | Counselor | 2712 Forgue Dr Ste 112, Naperville, IL 60564-4230 | 2020-09-15 |
| 1801408935 | Gina Dickison | Counselor | 2311 Bill Ct, Naperville, IL 60565-5240 | 2020-08-19 |
| 1528683208 | Linda Puetz | Counselor | 23w281 Hampton Cir, Naperville, IL 60540-9424 | 2020-06-09 |
| 1134755416 | Courtney Krishona Berry | Counselor | 2211 Waterleaf Ct Unit 202, Naperville, IL 60564-4969 | 2020-03-18 |
| 1710526843 | Jamie M Miles Haynes | Counselor | 4295 Gardenview Dr Apt 211, Naperville, IL 60564-1648 | 2020-01-06 |
| 1780222331 | Ellen R Kuefler | Counselor | 1129 Big Foot Ln, Naperville, IL 60563-2470 | 2019-12-13 |
| 1033773213 | Chelsea Bogda | Counselor | 1754 N Washington St Ste 104a, Naperville, IL 60563-1462 | 2019-04-23 |
| 1811450208 | Jessica L. Kush | Counselor | 29 S Webster St Ste 106, Naperville, IL 60540-5353 | 2019-04-11 |
| 1427511518 | Takeisha Rheams | Counselor | 500 E Ogden Ave Ste 101, Naperville, IL 60563-3264 | 2019-04-07 |
| Find all providers in NAPERVILLE | ||||
| City | NAPERVILLE |
| Zip Code | 60563 |
Please comment or provide details below to improve the information on ZACHARY MICHAEL GIBSON.
| 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.