MRS. SUZANNE GIBBARD (NPI# 1407888662) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407888662 |
| Entity Type | Individual |
| Full Name | MRS. SUZANNE GIBBARD |
| Credential | PH D |
| Practice Address |
522 West Washington Ave Jonesboro AR 72401 |
| Practice Telephone | 8709356621 |
| Practice Fax Number | 8709338919 |
| Mailing Telephone | 8709356621 |
| Mailing Fax Number | 8709338919 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 9724P | AR | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | BCBS | 5S877 | 01 |
| Street Address |
522 WEST WASHINGTON AVE |
| City | JONESBORO |
| State | AR |
| Zip Code | 72401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316970049 | Daniel Wheeler Gilchrist | Psychologist | 522 West Washington Ave, Jonesboro, AR 72401 | 2006-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407453368 | Mariah Kay Jackson | Physical Therapy Assistant | Creative Kids Therapy, Jonesboro, AR 72401 | 2020-10-05 |
| 1821606005 | Kafayat Folake Iyanda | Specialist/Technologist | 2105 East Aggie Rd, Jonesboro, AR 72401 | 2020-07-14 |
| 1053936310 | Josh Roberts | Physical Therapist | 1010 South Main St, Jonesboro, AR 72401 | 2020-06-12 |
| 1003449687 | Amy Mary Elizabeth Daughhetee | Nurse Practitioner | 225 East Washington Ave, Jonesboro, AR 72401 | 2020-02-21 |
| 1871126698 | Sarah Lowtharp | Clinical Nurse Specialist | 225 East Washington Ave., Jonesboro, AR 72401 | 2020-02-20 |
| 1891335519 | Mallori Miller | Case Manager/Care Coordinator | 837 Willett Rd, Jonesboro, AR 72401 | 2020-01-10 |
| 1265073704 | Michael Bruce Collie | Registered Nurse | 837 Williett Road, Jonesboro, AR 72401 | 2019-10-07 |
| 1285283432 | Jonesboro Ambulatory Surgery Center, LLC | Clinic/Center | 1710 Mayfield Dr, Jonesboro, AR 72401 | 2019-09-10 |
| 1841843943 | Destinee Katrina Cole | Specialist/Technologist | 2015 Aggie Rd, Jonesboro, AR 72401 | 2019-07-18 |
| 1699250472 | Jessica Marie Mcnatt | Occupational Therapist | 907 County Road 753, Jonesboro, AR 72401 | 2018-09-27 |
| Find all providers in zip 72401 | ||||
| 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 |
|---|---|---|---|---|
| 1407936560 | Hope Mcclintock Gilchrist | Psychologist | 522 W Washington Ave, Jonesboro, AR 72401-2780 | 2006-10-16 |
| 1396841565 | George M De Roeck | Psychologist | 308 W Monroe Ave, Jonesboro, AR 72401-2741 | 2006-09-15 |
| 1346343597 | James Paul Moore | Psychologist | 260 Southwest Drive, Jonesboro, AR 72401 | 2006-09-06 |
| 1033721113 | Hannah Yael Paull | Psychologist | 2400 Mount Zion Pkwy, Jonesboro, GA 30236-2500 | 2020-08-19 |
| 1497025845 | Abby M Myers | Psychologist | 2400 Mt. Zion Parkway, Kaiser Permanente Southwood Medical Center, Jonesboro, GA 30236 | 2012-01-03 |
| 1265700918 | Russell Farr Shearer Jr. | Psychologist | 2400 Mt. Zion Parkway, Kaiser Permanente Southwood Medical Center, Jonesboro, GA 30236 | 2011-12-08 |
| 1356659098 | Stephen Paul Pipkin | Psychologist | 2707 Browns Ln, Jonesboro, AR 72401-7213 | 2010-09-15 |
| 1609046259 | Anita Gail Wells | Psychologist | 2707 Browns Ln, Jonesboro, AR 72401-7213 | 2008-03-10 |
| 1992841654 | Lesli Annette-elkins Baltz | Psychologist | 1815 Pleasant Grove Rd, Jonesboro, AR 72401-7870 | 2007-01-29 |
| 1316098643 | Margaret B Rector | Psychologist | 2707 Browns Ln, Jonesboro, AR 72401-7213 | 2007-01-15 |
| Find all providers in JONESBORO | ||||
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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.