DR. CARTER CAMPBELL GARDNER (NPI# 1831213958) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831213958 |
| Entity Type | Individual |
| Full Name | DR. CARTER CAMPBELL GARDNER |
| Credential | PH.D. |
| Practice Address |
4700 Spring Street Suite 204 La Mesa CA 91941-0237 |
| Mailing Address |
2646 Seattle Drive El Cajon CA 92020-1774 |
| Practice Telephone | 6196277701 |
| Practice Fax Number | 6196445751 |
| Mailing Telephone | 6196277701 |
| Mailing Fax Number | 6196445751 |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2016-03-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
PSY.10888 | CA | Behavioral Health & Social Service Providers |
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
PSY10888 | CA | Behavioral Health & Social Service Providers |
| Street Address |
4700 SPRING STREET SUITE 204 |
| City | LA MESA |
| State | CA |
| Zip Code | 91941-0237 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699849299 | Cynthia Ann Thayer | Psychologist | 4700 Spring Street, Suite 204, La Mesa, CA 91941 | 2006-11-17 |
| 1114076742 | Kenneth R Whitcomb | Dentist | 4700 Spring Street, Suite 104, La Mesa, CA 91941 | 2007-01-10 |
| 1669521050 | Santiago Alfonso Surillo | Dentist | 4700 Spring Street, Suite 104, La Mesa, CA 91941 | 2007-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659914588 | Aja Encinas | Midwife | 9461 Grossmont Summit Drive Suite A, La Mesa, CA 91941 | 2019-10-23 |
| 1750889861 | Kasey Higgins | Nurse Practitioner | 10862 Calle Verde # S93, La Mesa, CA 91941 | 2018-01-24 |
| 1801325238 | Edward Rabinovich, Dds, Inc. | Dentist | 3855 Avocado Blvd., Ste. 250, La Mesa, CA 91941 | 2017-06-08 |
| 1003204140 | Cierra Lancaster | Case Manager/Care Coordinator | 4287 Palm Ave #32, La Mesa, CA 91941 | 2014-12-23 |
| 1710388533 | Affordable In Home Care | Home Health | 7953 Lemon Circle, La Mesa, CA 91941 | 2014-09-11 |
| 1902206063 | Rachel Llanes | Marriage & Family Therapist | 4849 Schuyler Avenue, La Mesa, CA 91941 | 2014-08-26 |
| 1497185540 | Benjamin J Mandel | Dentist | 3835 Avocado Blvd #220, Lamesa, CA 91941 | 2013-11-26 |
| 1487084901 | Accuquest Hearing Centers | Clinic/Center | 5105 Garfield Street, La Mesa, CA 91941 | 2013-11-19 |
| 1447551353 | John Chuol Kuek | Marriage & Family Therapist | 4060 Fairmount Avenue, San Diego, CA 91941 | 2010-11-09 |
| 1588808463 | Aesthetic Arts Institute of Plastic Surgery, LLC | Clinic/Center | 8415 Grant Avenue, La Mesa, CA 91941 | 2009-04-23 |
| Find all providers in zip 91941 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336134527 | Martina Ann Clarke | Psychologist | 4700 Spring St Ste 204, #204, La Mesa, CA 91941-5273 | 2005-09-14 |
| 1851859631 | Rhombus | Psychologist | 8058 La Mesa Blvd, La Mesa, CA 91942-0335 | 2019-03-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699376368 | Jamie L Krause | Psychologist | 2134 N Lincoln St Apt 1/2, Burbank, CA 91504-3349 | 2020-11-07 |
| 1861090441 | Illuminating Psychological Services Corporation | Psychologist | 4181 Flat Rock Dr Ste 311, Riverside, CA 92505-7106 | 2020-10-15 |
| 1194322495 | Yong Sue Park | Psychologist | 1913 Wilshire Blvd, Los Angeles, CA 90057-3604 | 2020-10-08 |
| 1811594815 | Dena Schwimmer | Psychologist | 1227 S Genesee Ave, Los Angeles, CA 90019-2407 | 2020-10-03 |
| 1932716222 | Changing Directions Psychological Corporation | Psychologist | 17280 Newhope Street, Suite 4, Fountain Valley, CA 92708 | 2020-09-30 |
| 1932711413 | Tonja M Jackson | Psychologist | 23213 Lynn St, Hayward, CA 94541-7426 | 2020-08-17 |
| 1720606593 | Brejaynae S Joiner | Psychologist | 2310 Mcginley Ave, Antioch, CA 94509-3819 | 2020-07-08 |
| 1407474596 | Devjani Banerjee-stevens | Psychologist | 15 Williamsburg Ln Ste A, Chico, CA 95926-5520 | 2020-07-06 |
| 1255952842 | Sarah E. Wilson, Phd, A Professional Psychology Corporation | Psychologist | 23 Altarinda Road, Suite 201, Orinda, CA 94563 | 2020-05-05 |
| 1427684661 | Lucy Cotter | Psychologist | 205 N Larchmont Blvd, Los Angeles, CA 90004-3706 | 2020-03-19 |
| Find all providers with the same taxonomy | ||||
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| 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.