1. Home
  2. Directory
  3. Florida
  4. Orlando
  5. Psychologist
  6. NPI Profile

LISA C GIBBONS PHD.
NPI 1801049150
Psychologist - Clinical Child & Adolescent in Orlando, FL

Active since October 30, 2008PECOS Enrolled
100 W GORE ST STE 405, ORLANDO, FL 32806(321) 841-3820(321) 843-6836 Get Directions Write a Review

NPPES record last updated: May 14, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 14, 2020, Jun 20, 2019, Nov 16, 2017 (3 updates tracked since 2017).

About Lisa C Gibbons Phd. NPPES

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

LISA C GIBBONS PHD. (NPI 1801049150) is an individual clinical child & adolescent provider in Orlando, Florida, licensed in Florida (PY7824) and active in the NPI registry since October 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1801049150
Entity TypeIndividualFemale
Primary Taxonomy103TC2200X
Provider Legal NameLISA C GIBBONSCredential: PHD.
Location Address100 W GORE ST STE 405Orlando, FL 32806-1049
Mailing Address100 W Gore St Ste 405Orlando, FL 32806-1049 · (321) 841-3820 · Fax (321) 843-6836
Phone(321) 841-3820
Fax(321) 843-6836
Sole ProprietorNo
Enumeration DateOctober 30, 2008
Last NPPES UpdateMay 14, 20203 updates tracked since enumeration
NPPES CertifiedMay 14, 2020
✔ NPI 1801049150 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers
Taxonomy Code103TC2200X
License✔ Licensed in FL · PY7824
Definition
A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.
100 W GORE ST STE 405, Orlando, FL 32806
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lisa C Gibbons Phd. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Lisa Gibbons reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Orlando Health Medical Group Inc
0.3 mi
Internal Medicine
52 W UNDERWOOD ST
Orlando, FL 32806
  • Reassigned Medicare billing, Florida enrollment
  • 3,290 clinicians in this Medicare group
NPI 1669429577 (321) 841-2452
The Nemours Foundation
118 mi
Multi-Specialty
10140 CENTURION PKWY N, THE NEMOURS FOUNDATION
Jacksonville, FL 32256
  • Reassigned Medicare billing, Florida enrollment
  • 703 clinicians in this Medicare group
NPI 1386658615 (904) 697-5628

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 12

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

COURTNEY TILLER ARNP
Nurse Practitioner (Pediatrics)
100 W GORE ST STE 405
ORLANDO, FL 32806
Orange County (321) 841-9340
DR. NAINA MEHTA MD
Pediatrics (Neurodevelopmental Disabilities)
100 W GORE ST STE 405
ORLANDO, FL 32806
Orange County (321) 841-9340
DR. MONICA BARRETO PHD
Psychologist (Clinical Child & Adolescent)
100 W GORE ST STE 405
ORLANDO, FL 32806
Orange County (321) 841-3820
ANITA MARIE VITALE PHD
Psychologist (Clinical)
100 W GORE ST STE 405
ORLANDO, FL 32806
Orange County (321) 841-3820
NAOMI M ALFONSO ARNP
Nurse Practitioner (Pediatrics)
100 W GORE ST STE 405
ORLANDO, FL 32806
Orange County (321) 841-9340
DR. RAQUEL MELENDEZ RODRIGUEZ PHD
Psychologist (Clinical Child & Adolescent)
100 W GORE ST STE 405
ORLANDO, FL 32806
Orange County (321) 841-9340
DR. VERONICA RUIZ BAECHLER M.D.
Pediatrics (Developmental - Behavioral Pediatrics)
100 W GORE ST STE 405
ORLANDO, FL 32806
Orange County (321) 841-9340
LEAH R WARREN APRN
Nurse Practitioner (Pediatrics)
100 W GORE ST STE 405
ORLANDO, FL 32806
Orange County (321) 841-9340

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 Lisa Gibbons's NPI number?

The NPI number for Lisa Gibbons is 1801049150. It was assigned to this individual provider in the NPPES registry on October 30, 2008.

Where is Lisa Gibbons located?

Lisa Gibbons practices at 100 W Gore St Ste 405, Orlando, FL 32806. The listed phone number is (321) 841-3820.

What is Lisa Gibbons's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Is Lisa Gibbons enrolled in Medicare?

Yes. Lisa Gibbons is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Lisa Gibbons's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Gibbons reassigns Medicare benefits to 2 organizations: Orlando Health Medical Group Inc (Orlando, FL) and The Nemours Foundation (Jacksonville, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lisa Gibbons's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lisa Gibbons accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and UnitedHealthcare list Lisa Gibbons as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lisa Gibbons was last updated on May 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.