Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1801014204 Individual Practitioner Male Practitioner

Dr. Keith D Gibson , PhD

Psychologist • Beloit, WI

Professional Overview & Biography Verified Profile Summary

Dr. Keith Gibson, PhD is a registered healthcare professional specializing in Psychologist in Beloit, WI. Practice services are available at 1969 W HART RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1969 W Hart Rd

Beloit, WI 535112230

Telephone 6083645686
Fax 6083635756
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Beloit, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.4 Yrs
Regional Practice Density
3 Specialists

Practicing in Beloit, WI (1000 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License WI 522057

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.

Practice Associates & Co-Workers

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

27 Associated Practitioners
Patricia Swanson , MSSW

Social Worker - Clinical

NPI 1013050277
Gregory Ammon , LPC MS NCC

Counselor - Professional

NPI 1033253901

LPCMSNCC

Carol Katroscik , MSW LCSW

Social Worker - Clinical

NPI 1053441923

MSWLCSW

Sally Greer , MS LPC

Counselor - Professional

NPI 1053454215

MSLPC

Dr. Yehia Khoga , MD

Psychiatry & Neurology - Child & Adolescent Psychiatry

NPI 1063400810

Doctor of Medicine (M.D.)

Cristina Kroeze

Counselor - Mental Health

NPI 1114315660

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 1969 W HART RD, BELOIT, WI 535112230 (Tel: 6083645686)

📍
Updated Business Mailing Address July 08, 2007

Registered at N2788 WALDEN LN, LAKE GENEVA, WI 531473439 (Tel: 2622486789)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as KEITH GIBSON, PHD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Psychologist (License #522057 in WI)

🟢
Initial NPI Registration & Enumeration April 23, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1801014204
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 23, 2007
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

N2788 Walden Ln

Lake Geneva, WI 531473439

Phone: 2622486789

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.