MR. PHILIP JOHN GIBSON MA,LLP
NPI 1356812960
Psychologist - Counseling in Grand Rapids, MI

Q: What is Philip Gibson's NPI number?

The NPI number for Philip Gibson is 1356812960. It was assigned to this individual provider in the NPPES registry on December 7, 2018.

Q: What is Philip Gibson's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Counseling, with taxonomy code 103TC1900X.

Q: When was this NPI record last updated?

The NPPES record for Philip Gibson was last updated on December 7, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since December 07, 2018

790 FULLER AVE NE, GRAND RAPIDS, MI 49503(616) 802-4456(616) 336-4333 Get Directions Write a Review

NPPES record last updated: December 7, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Mr. Philip John Gibson Ma,llp NPPES

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

MR. PHILIP JOHN GIBSON MA,LLP (NPI 1356812960) is an individual counseling provider in Grand Rapids, Michigan, licensed in Michigan (6301011584) and active in the NPI registry since December 2018.

NPPES Registry Identity

NPI1356812960

Entity TypeIndividualMale

Primary Taxonomy103TC1900X

Provider Legal NameMR. PHILIP JOHN GIBSONCredential: MA,LLP

Location Address790 FULLER AVE NEGrand Rapids, MI 49503-1918

Mailing Address790 Fuller Ave NeGrand Rapids, MI 49503-1918 · (616) 802-4456 · Fax (616) 336-4333

Phone(616) 802-4456

Fax(616) 336-4333

Sole ProprietorNo

Enumeration DateDecember 7, 2018

✔ NPI 1356812960 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · CounselingBehavioral Health & Social Service Providers

Taxonomy Code103TC1900X

License✔ Licensed in MI · 6301011584

Definition

A psychologist who specializes in general practice and health service. It focuses on how people function both personally and in their relationships at all ages. Counseling psychology addresses the emotional, social, work, school and physical health concerns people may have at different stages in their lives, focusing on typical life stresses and more severe issues with which people may struggle as individuals and as a part of families, groups and organizations. Counseling psychologists help people with physical, emotional and mental health issues improve their sense of well-being, alleviate feelings of distress and resolve crises. They also provide assessment, diagnosis, and treatment of more severe psychological symptoms.

790 FULLER AVE NE, Grand Rapids, MI 49503

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