DR. ERIC JON RAINEY GIBSON NPI 1528036761

NPI Information

NPI: 1528036761
Provider Name: DR. ERIC JON RAINEY GIBSON
Classification: Psychologist - 103TC2200X
Specialization: Clinical Child & Adolescent
Entity Type: Individual
Address: 1003 GRAND AVENUE
WEST DES MOINES, IA
ZIP 50265
Phone: (515) 267-1003

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NPI Details

DR. Eric Jon Rainey Gibson is a clinical child and adolescent psychologist in West Des Moines, IA. The provider is 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. DR. Eric Jon Rainey Gibson NPI is 1528036761. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1003 GRAND AVENUE
WEST DES MOINES, IA
ZIP 50265-502
Phone: (515) 267-1003
Fax: (515) 267-0100

The enumeration date for this NPI number is 3/14/2006 and was last updated on 9/11/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	103TC0700X	Psychologist	Clinical	HSP00445	IOWA	No
2	103TC0700X	Psychologist	Clinical	00966	IOWA	No
3	103TC2200X	Psychologist	Clinical Child & Adolescent	HSP00445	IOWA	No
4	103TC2200X	Psychologist	Clinical Child & Adolescent	00966	IOWA	Yes
5	103T00000X	Psychologist		HSP00445	IOWA	No
6	103T00000X	Psychologist		00966	IOWA	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	36432	OTHER	IOWA	BLUE SHIELD
2	1045898	MEDICAID	IOWA
3	IA0134	OTHER	IOWA	JOHN DEERE HC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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