DR. THERESA L. GIBSON PH.D.
NPI 1134365497
Psychologist - Clinical Child & Adolescent in Charlotte, NC

NPI Status: Active since December 16, 2008

Contact Information

11111 CARMEL COMMONS BLVD
SUITE 220
CHARLOTTE, NC
ZIP 28226
Phone: (704) 540-5411
Fax: (704) 540-4933

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  • Individual
  • Female
  • Psychologist
  • Clinical Child & Adolescent

About THERESA GIBSON

This page provides the complete NPI Profile along with additional information for Theresa Gibson, a provider established in Charlotte, North Carolina with a medical specialization in Psychologist, focusing in clinical child & adolescent . The healthcare provider is registered in the NPI registry with number 1134365497 assigned on December 2008. The practitioner's primary taxonomy code is 103TC2200X with license number 2607 (NC). The provider is registered as an individual and her NPI record was last updated 17 years ago.

NPI
1134365497
Provider Name
DR. THERESA L. GIBSON PH.D.
Other Name
MRS. THERESA GIBSON KEISLER
Other Name Type
Other Name (5)
Gender
Female
Entity Type
Individual
Location Address
11111 CARMEL COMMONS BLVD SUITE 220 CHARLOTTE, NC 28226
Location Phone
(704) 540-5411
Location Fax
(704) 540-4933
Mailing Address
11111 CARMEL COMMONS BLVD SUITE 220 CHARLOTTE, NC 28226
Mailing Phone
(704) 540-5411
Mailing Fax
(704) 540-4933
Is Sole Proprietor?
Yes
Enumeration Date
12-16-2008
Last Update Date
12-16-2008
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychologist Clinical Child & Adolescent

Taxonomy Code
103TC2200X
Type
Behavioral Health & Social Service Providers
License No.
2607
License State
NC
Taxonomy Description
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.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1134365497
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21646610418
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 6 + 4 + 6 + 6 + 1 + 0 + 4 + 1 + 8 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1134365497 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1548395502ATS UNIVERSAL LLC
Organization
Home Health11111 CARMEL COMMONS BLVD STE 200
CHARLOTTE, NC 28226
(980) 235-2760
1740409713DR. ROBERT CHESTER FAUCETTE PH.D.
Individual
Psychologist (Clinical)11111 CARMEL COMMONS BLVD SUITE 220
CHARLOTTE, NC 28226
(704) 540-7525
1952560435DR. IRM BELLAVIA M.D.
Individual
Psychiatry & Neurology (Child & Adolescent Psychiatry)11111 CARMEL COMMONS BLVD SUITE 220
CHARLOTTE, NC 28226
(704) 540-1488

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1134365497, enumerated in the NPI registry as an "individual" on December 16, 2008

The provider is located at 11111 Carmel Commons Blvd Suite 220 Charlotte, Nc 28226 and the phone number is (704) 540-5411

The provider's speciality is Psychologist with taxonomy code 103TC2200X with a focus in Clinical Child & Adolescent

This NPI record was last updated on December 16, 2008. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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