Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1528028073 Individual Practitioner Male Practitioner

Dr. Charles F Gibson , PhD

Psychologist • Wooster, OH

Professional Overview & Biography Verified Profile Summary

Dr. Charles Gibson, PhD is a registered healthcare professional specializing in Psychologist in Wooster, OH. Practice services are available at 210 E MILLTOWN RD STE B under active NPI credentials.

Frequently performed procedures and clinical services include psychotherapy. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

210 E Milltown Rd Ste B

Wooster, OH 446911200

Telephone 3303450955
Fax 3303453420
Associated Practice Facility / Clinic
🏢 Sourceone Group Inc Facility NPI 1447346564

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Wooster, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 30.7 Yrs
State Avg: 26.0 Yrs
Regional Practice Density
11 Specialists

Practicing in Wooster, OH (1639 Statewide)

Telehealth Adoption Rate
18.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
22.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
90834 Psychotherapy, 45 minutes
149 12 $125.00 $96.70

Medical Specialties & State Licenses

CMS Verified: 2020-06-10
Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License OH 3370

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0630893 (OH)

Secondary Practice Locations

2285 Benden Dr

Wooster, OH 446912568

Phone: 3302649029

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
Dr. Leo Kempel , PhD

Psychologist - Clinical

NPI 1093705741

Doctor of Philosophy (Ph.D.)

Jan Hamill , LISW

Social Worker - Clinical

NPI 1144413808

Licensed Independent Social Worker

Dr. Cindy Orlasky , PhD

Psychologist - Clinical

NPI 1245300086

Doctor of Philosophy (Ph.D.)

Dr. Leslie Netland , PsyD

Psychologist - Clinical

NPI 1336231042

Doctor of Psychology (Psy.D.)

Carol Haburay , LPCC-S

Counselor - Mental Health

NPI 1497847115

LPCCS

Dr. Andria Doyle , PhD

Psychologist - Clinical

NPI 1568568673

Doctor of Philosophy (Ph.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location June 10, 2020

Registered at 210 E MILLTOWN RD STE B, WOOSTER, OH 446911200 (Tel: 3303450955)

📍
Updated Business Mailing Address June 10, 2020

Registered at 210 E MILLTOWN RD STE B, WOOSTER, OH 446911200 (Tel: 3303450955)

NPI Profile Active December 13, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location December 13, 2011

Registered at 201 E LIBERTY ST, SUITE 110, WOOSTER, OH 446914325 (Tel: 3302620598)

📍
Updated Business Mailing Address December 13, 2011

Registered at 201 E LIBERTY STREET, SUITE 110, WOOSTER, OH 44691 (Tel: 3302620598)

👤
Provider Name / Credentials Updated December 13, 2011

Recorded as CHARLES GIBSON, PHD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 13, 2011

Psychologist (License #3370 in OH)

🟢
Initial NPI Registration & Enumeration March 27, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Charles Gibson. Be the first to share your experience!

Sign in to leave a review for Dr. Charles Gibson

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1528028073
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 27, 2006
Last Update: June 10, 2020
Sole Proprietor: No

Mailing Address

210 E Milltown Rd Ste B

Wooster, OH 446911200

Phone: 3303450955

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.