DR. PETER EDWARD BOLIN GIBSON PSYD
NPI 1912525411
Psychologist in Leavenworth, KS

Active since July 10, 2020
4101 S 4TH ST, LEAVENWORTH, KS 66048(913) 682-2000 Get Directions Write a Review

NPPES record last updated: October 28, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Peter Edward Bolin Gibson Psyd NPPES

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

DR. PETER EDWARD BOLIN GIBSON PSYD (NPI 1912525411) is an individual psychologist in Leavenworth, Kansas, licensed in Kansas (03495) and active in the NPI registry since July 2020.

NPPES Registry Identity

NPI1912525411
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. PETER EDWARD BOLIN GIBSONCredential: PSYD
Location Address4101 S 4TH STLeavenworth, KS 66048-5014
Mailing Address4101 S 4th StLeavenworth, KS 66048-5014 · (913) 682-2000
Sole ProprietorNo
Enumeration DateJuly 10, 2020
Last NPPES UpdateOctober 28, 2025
NPPES CertifiedOctober 28, 2025
NPI 1912525411 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in KS · 03495
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.
4101 S 4TH ST, Leavenworth, KS 66048

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.

Registered Nurse
4101 S 4TH ST
LEAVENWORTH, KS 66048
Registered Nurse
4101 S 4TH ST
LEAVENWORTH, KS 66048
Internal Medicine (Pulmonary Disease)
4101 S 4TH ST
LEAVENWORTH, KS 66048
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
4101 S 4TH ST
LEAVENWORTH, KS 66048
Registered Nurse
4101 S 4TH ST
LEAVENWORTH, KS 66048
Registered Nurse (Medical-Surgical)
4101 S 4TH ST
LEAVENWORTH, KS 66048
Registered Nurse (Emergency)
4101 S 4TH ST
LEAVENWORTH, KS 66048
Licensed Practical Nurse
4101 S 4TH ST
LEAVENWORTH, KS 66048

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 1912525411. It was assigned to this individual provider in the NPPES registry on July 10, 2020.

Where is Peter Gibson located?

Peter Gibson practices at 4101 S 4th St, Leavenworth, KS 66048. The listed phone number is (913) 682-2000.

What is Peter Gibson's specialty?

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

When was this NPI record last updated?

The NPPES record for Peter Gibson was last updated on October 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.