PETER M GIBSON PH.D.
NPI 1871678771
Psychologist in Washington, DC

Active since October 26, 2006Opted out of Medicare · through Apr 1, 2027
1350 CONNECTICUT AVE NW, SUITE 603, WASHINGTON, DC 20036(202) 775-1556 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Peter M Gibson Ph.d. NPPES

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

PETER M GIBSON PH.D. (NPI 1871678771) is an individual psychologist in Washington, District Of Columbia, licensed in District Of Columbia (PSY1191) and active in the NPI registry since October 2006. He has opted out of Medicare through April 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1871678771
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NamePETER M GIBSONCredential: PH.D.
Location Address1350 CONNECTICUT AVE NW, SUITE 603Washington, DC 20036-1722
Mailing Address1350 Connecticut Ave Nw, Suite 603Washington, DC 20036-1722
Sole ProprietorYes
Enumeration DateOctober 26, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1871678771 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Licenses Licensed in DC · PSY1191 Licensed in VA · 0810-001063
Definition
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.
1350 CONNECTICUT AVE NW, Washington, DC 20036

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Peter M Gibson Ph.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2017 through April 1, 2027.

Opt-Out Effective DateApril 1, 2017
Opt-Out In Effect ThroughApril 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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.

Psychologist (Counseling)
1350 CONNECTICUT AVE NW, #308
WASHINGTON, DC 20036
Psychologist (Clinical)
1350 CONNECTICUT AVE NW, SUITE 602
WASHINGTON, DC 20036
Social Worker (Clinical)
1350 CONNECTICUT AVE NW, SUITE 801
WASHINGTON, DC 20036
Dentist (Periodontics)
1350 CONNECTICUT AVE NW, #305
WASHINGTON, DC 20036
Dentist (Endodontics)
1350 CONNECTICUT AVE NW, SUITE 305
WASHINGTON, DC 20036
Psychologist
1350 CONNECTICUT AVE NW
WASHINGTON, DC 20036
Physician Assistant (Medical)
1350 CONNECTICUT AVE NW, SUITE 1250
WASHINGTON, DC 20036
Psychologist (Clinical)
1350 CONNECTICUT AVE NW, #602
WASHINGTON, DC 20036

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 Peter Gibson's NPI number?

The NPI number for Peter Gibson is 1871678771. It was assigned to this individual provider in the NPPES registry on October 26, 2006.

Where is Peter Gibson located?

Peter Gibson practices at 1350 Connecticut Ave NW Suite 603, Washington, DC 20036. The listed phone number is (202) 775-1556.

What is Peter Gibson's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Peter Gibson enrolled in Medicare?

No. Peter Gibson has opted out of Medicare through April 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Peter Gibson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.