NICOLE MARIE GIBSON CASAC-T
NPI 1114438611
Clinic/Center - Adult Mental Health in Syracuse, NY

Active since October 24, 2017
321 W ONONDAGA ST, SYRACUSE, NY 13202(315) 478-0610 Get Directions Write a Review

NPPES record last updated: October 24, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Nicole Marie Gibson Casac-t NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICOLE MARIE GIBSON CASAC-T (NPI 1114438611) is an individual adult mental health provider in Syracuse, New York, licensed in New York (31404) and active in the NPI registry since October 2017.

NPPES Registry Identity

NPI1114438611
Entity TypeIndividualFemale
Primary Taxonomy261QM0850X
Provider Legal NameNICOLE MARIE GIBSONCredential: CASAC-T
Location Address321 W ONONDAGA STSyracuse, NY 13202-3207
Mailing Address133 Mckinley AveSyracuse, NY 13205-1513
Sole ProprietorYes
Enumeration DateOctober 24, 2017
NPI 1114438611 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
License Licensed in NY · 31404
Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

321 W ONONDAGA ST, Syracuse, NY 13202

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychiatry & Neurology (Psychiatry)
321 W ONONDAGA ST, SUITE 201
SYRACUSE, NY 13202
Social Worker
321 W ONONDAGA ST
SYRACUSE, NY 13202
Clinic/Center (Adult Mental Health)
321 W ONONDAGA ST
SYRACUSE, NY 13202
Registered Nurse
321 W ONONDAGA ST, SUITE 201
SYRACUSE, NY 13202
Counselor (Mental Health)
321 W ONONDAGA ST
SYRACUSE, NY 13202
Counselor (Mental Health)
321 W ONONDAGA ST
SYRACUSE, NY 13202
Social Worker
321 W ONONDAGA ST
SYRACUSE, NY 13202
Counselor (Addiction (Substance Use Disorder))
321 W ONONDAGA ST
SYRACUSE, NY 13202

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicole Gibson's NPI number?

The NPI number for Nicole Gibson is 1114438611. It was assigned to this individual provider in the NPPES registry on October 24, 2017.

Where is Nicole Gibson located?

Nicole Gibson practices at 321 W Onondaga St, Syracuse, NY 13202. The listed phone number is (315) 478-0610.

What is Nicole Gibson's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

When was this NPI record last updated?

The NPPES record for Nicole Gibson was last updated on October 24, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.