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).
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 |
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 |
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 |
Street Address |
1050 FOREST HILL RD |
City | STATEN ISLAND |
State | NY |
Zip Code | 10314-6356 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093774804 | Milen Velinov | Medical Genetics | 1050 Forest Hill Rd, Staten Island, NY 10314-6356 | 2006-03-21 |
1831711316 | Tina Rovito Gomez | Psychologist | 1050 Forest Hill Rd, Staten Island, NY 10314-6356 | 2020-05-07 |
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 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568076255 | Edward Leccese | Massage Therapist | 77 Renee Place, Staten Island, NY 10314 | 2020-09-01 |
1871154633 | Matthew Richard Puliatti | Counselor | 1688 Victory Boulevard, Staten Island, NY 10314 | 2019-06-24 |
1750845137 | Miriam Gordon Pediatric Np PC | Nurse Practitioner | 7 Ismay Street, Staten Island, NY 10314 | 2019-01-30 |
1003391186 | 2791 Richmond LLC | Dentist | 2791 Richmond Avenue, Suite 2, Staten Island, NY 10314 | 2018-09-25 |
1477046522 | Miriam A Madry | Optometrist | 569 Woolley Ave, Staten Island, NY 10314 | 2018-06-13 |
1174025894 | Staten Island Dentistry P.C. | Clinic/Center | 979 Willowbrook Rd., Staten Island, NY 10314 | 2018-03-08 |
1205335023 | Ashley Larsen | Early Intervention Provider Agency | 229 Wellington Ct, Staten Island, NY 10314 | 2018-02-07 |
1306369699 | Victoria Ali | Behavior Technician | 228 Melvin Avenue, Staten Island, NY 10314 | 2017-07-19 |
1700307360 | Lydia Mora | Specialist | 2025 Richmond Avenue Suite 200, Staten Island, NY 10314 | 2017-07-03 |
1366971707 | Lisa Pietracatella | Massage Therapist | 92 Margaretta Court, Staten Island, NY 10314 | 2017-06-08 |
Find all providers in zip 10314 |
Taxonomy Code | 103TM1800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Mental Retardation & Developmental Disabilities |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225482227 | Lolita Angelique Sherman-coyle | Psychologist | 165 Saint Marks Pl Apt 8m, 8m, Staten Island, NY 10301-1650 | 2016-04-16 |
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 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841834553 | Andrelle Julien | Psychologist | 227 Stewart St, Elmont, NY 11003-2345 | 2019-11-05 |
1467004333 | Humanitarian Organization for Multicultural Experiences, Inc. | Psychologist | 831 James Street, Syracuse, NY 13203 | 2019-07-11 |
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 |
1417438045 | Patricia Ann Barker | Psychologist | 4 Meleny Rd, Locust Valley, NY 11560-1220 | 2018-08-22 |
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 |
1154747517 | Sarit Bayaz | Psychologist | 2541 E 65th St, Brooklyn, NY 11234-6926 | 2014-03-10 |
Find all providers with the same taxonomy |
City | STATEN ISLAND |
Zip Code | 10314 |
Please comment or provide details below to improve the information on DR. JUDITH GARDNER.
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.