DR. JUDITH GARDNER


Address: 1050 Forest Hill Rd, Staten Island, NY 10314-6356
Phone: 3477520586

DR. JUDITH GARDNER (NPI# 1578955092) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1578955092
Entity Type Individual
Full Name DR. JUDITH GARDNER
Credential PH.D.
Practice Address 1050 Forest Hill Rd
Staten Island
NY 10314-6356
Mailing Address 292 Edinboro Rd
Staten Island
NY 10306-1254
Practice Telephone 3477520586
Mailing Telephone 3477520586
Enumeration Date 2015-02-19
Last Update Date 2015-02-19
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 103TB0200X Psychologist
Specialization: Cognitive & Behavioral
008570-1 NY Behavioral Health & Social Service Providers
N 103TC2200X Psychologist
Specialization: Clinical Child & Adolescent
008570-1 NY Behavioral Health & Social Service Providers
Y 103TM1800X Psychologist
Specialization: Mental Retardation & Developmental Disabilities
008570-1 NY Behavioral Health & Social Service Providers

Other Providers JUDITH GARDNER

NPI Name Taxonomy Address Enumeration
1184079113 Judith Gardner Social Worker 87 N Canton Rd, Akron, OH 44305 2016-04-27
1750549499 Judith Dodrill Gardner Psychiatry & Neurology 225 Commercial St, Suite 403, Portland, ME 04101-4613 2008-05-29
1306063847 Judith Leffler Gardner Physical Therapist 295 Capri Dr, Gainesville, GA 30506-1752 2007-04-19
1558478206 Judith M Gardner Speech-Language Pathologist 830 S Addison Ave, Villa Park, IL 60181-2877 2006-08-25
1124095468 Judith Ann Gardner Pediatrics 1690 Big Oak Rd, Yardley, PA 19067-6421 2006-03-07

Office Location

Street Address 1050 FOREST HILL RD
City STATEN ISLAND
State NY
Zip Code 10314-6356

Providers in the same location

NPI Name Taxonomy Address Enumeration
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1477891125 Molly Frances Wood Genetic Counselor, MS 1050 Forest Hill Rd, Staten Island, NY 10314-6356 2013-01-30
1407101389 Anne Gordon Specialist 1050 Forest Hill Rd, Staten Island, NY 10314-6356 2012-07-17
1326347600 Darlynne Ada Devenny Speech-Language Pathologist 1050 Forest Hill Rd, Staten Island, NY 10314-6356 2011-03-25
1255647319 Instittue for Basic Research (nys Opwdd) Early Intervention Provider Agency 1050 Forest Hill Rd, Staten Island, NY 10314-6356 2010-08-27
1891921953 Charles S Holburn Behavioral Analyst 1050 Forest Hill Rd, Staten Island, NY 10314-6356 2009-06-03
1366696437 Maripaz Gonzalez Pediatrics 1050 Forest Hill Rd, Staten Island, NY 10314-6356 2008-11-15
1285831032 Nancy Zellers Genetic Counselor, MS 1050 Forest Hill Rd, Staten Island, NY 10314-6356 2007-06-27
1336346188 Jacquelyn Krogh Genetic Counselor, MS 1050 Forest Hill Rd, Staten Island, NY 10314-6356 2007-06-27
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NPI Name Taxonomy Address Enumeration
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Taxonomy Information

Taxonomy Code 103TM1800X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Mental Retardation & Developmental Disabilities

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1821478728 Sangweon Aum Psychologist 123 Mcveigh Ave, Staten Island, NY 10314-6133 2015-06-05
1659763977 Nairee Lea Rodriguez Psychologist 1535 Richmond Ave, Staten Island, NY 10314-1520 2015-02-24

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1841834553 Andrelle Julien Psychologist 227 Stewart St, Elmont, NY 11003-2345 2019-11-05
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1023675097 Suhong Chen Psychologist 3613 212th St, Bayside, NY 11361-2048 2019-05-23
1871065524 Richard Gray Sr. Psychologist 2033 Seagirt Blvd Apt 3g, Far Rockaway, NY 11691-2933 2018-12-19
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1720511413 Christine Mary Silvestro Psychologist 480 Oakwood Dr, Southold, NY 11971-3211 2017-04-10
1336680313 Shirley Joseph-ross Psychologist 109-46 172nd Street, Jamaica, NY 11433 2017-03-10
1568902336 Hilda Ann Varghese Psychologist 26607 Union Tpke, New Hyde Park, NY 11040-1426 2017-02-27
1710362231 Rhonisha Jeremiah-king Psychologist 237 E 92nd St Apt 1f, Brooklyn, NY 11212-1434 2015-07-27
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Competitor

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City STATEN ISLAND
Zip Code 10314

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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