CLARK P GARDNER (NPI# 1932133204) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932133204 |
| Entity Type | Individual |
| Full Name | CLARK P GARDNER |
| Credential | MD |
| Practice Address |
1 Hawley St Binghamton NY 13901-3102 |
| Mailing Address |
757 Boswell Hill Rd Endicott NY 13760-6612 |
| Practice Telephone | 6077781131 |
| Practice Fax Number | 6077781164 |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
113422 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 06000113422 | 05 | |
| NY | CDPHP | 10061793 | 01 |
| Street Address |
1 HAWLEY ST |
| City | BINGHAMTON |
| State | NY |
| Zip Code | 13901-3102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821035221 | Hanna A Zacks | Social Worker | 1 Hawley St, Binghamton, NY 13901-3102 | 2006-06-02 |
| 1083847479 | Matthew William Roche | Counselor | 1 Hawley St, 2nd Floor, Binghamton, NY 13901-3141 | 2009-09-01 |
| 1295977445 | Emily A Macclary | Counselor | 1 Hawley St, Binghamton, NY 13901-3102 | 2009-04-02 |
| 1629217070 | Colleen S Oneil | Counselor | 1 Hawley St, Binghamton, NY 13901-3102 | 2009-02-09 |
| 1285882324 | Dana Joel Ward | Counselor | 1 Hawley St, Binghamton, NY 13901-3102 | 2008-09-03 |
| 1063672582 | Debra A. Dozoretz | Counselor | 1 Hawley St, Binghamton, NY 13901-3102 | 2008-06-10 |
| 1396924023 | James E Golden | Social Worker | 1 Hawley St, Binghamton, NY 13901-3102 | 2007-10-30 |
| 1316126311 | Linda L Kotasek | Counselor | 1 Hawley St, Binghamton, NY 13901-3102 | 2007-10-26 |
| 1417077728 | Tina Lynn Vannoy | Social Worker | 1 Hawley St, 2nd Floor, Binghamton, NY 13901-3141 | 2007-03-30 |
| 1629097456 | Chong T Lee | Psychiatry & Neurology | 1 Hawley St, Binghamton, NY 13901-3102 | 2006-07-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508343450 | Michael Patrick Reistetter | Family Medicine | 17 Chenango Bridge Rd., Binghamton, NY 13901 | 2018-07-24 |
| 1003337932 | Benjamin H Fievisohn | Pharmacist | 85 Robinson At, Rite Aid Pharmacy, Binghamton, NY 13901 | 2017-06-30 |
| 1073870424 | Younis Al Kass | Internal Medicine | 35 Fernwood Lane, Binghamton, NY 13901 | 2012-04-23 |
| 1457622425 | Margaret Smith Peters | Social Worker | 221 Chenango Bridge, Binghamton, NY 13901 | 2012-01-23 |
| 1245551159 | Elizabeth Maria Camp | Speech-Language Pathologist | 810 Brotzman Rd., Binghamton, NY 13901 | 2010-06-15 |
| 1356665491 | Lauretta A Maginley | Licensed Practical Nurse | 66 Hawley St., Stafkings, Binghamton, NY 13901 | 2010-03-18 |
| 1790008159 | Sofia Kitimbo Adam | Pharmacist | 34 West State St, Binghamton, NY 13901 | 2010-03-12 |
| 1851622211 | Us Vision Optical Inc | Eyewear Supplier (Equipment, not the service) | 11-23 Court Street, Binghamton, NY 13901 | 2010-01-26 |
| 1124272034 | Janet Lynne Jones-mcguane | Occupational Therapist | 8 Hodge Avenue, Binghamton, NY 13901 | 2008-11-06 |
| 1891943395 | Carmela Gobbo Pirich | Counselor | 30 West State Street, Binghamton, NY 13901 | 2008-09-09 |
| Find all providers in zip 13901 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629360979 | Marc Campbell | Psychiatry & Neurology | 425 Robinson St., Binghamton, NY 13904-1755 | 2011-05-04 |
| 1710282934 | Saint Andrews Neuroscience(medical Neuropsychiatry)llc | Psychiatry & Neurology | 55 Front St, Binghamton, NY 13905-4705 | 2011-01-19 |
| 1245355155 | Tara Jayant Belsare | Psychiatry & Neurology | 38 Riverside Drive, Binghamton, NY 13905 | 2007-03-20 |
| 1730116047 | Bal M Nemani M.d. | Psychiatry & Neurology | 80 Oak St, Binghamton, NY 13905-4625 | 2006-06-26 |
| 1134182785 | Elisabeth Morgan Gray | Psychiatry & Neurology | 305 Clinton St, Ctrc, Binghamton, NY 13905-2017 | 2006-04-06 |
| 1437128477 | Juan M Marte | Psychiatry & Neurology | 10-42 Mitchell Avenue, Krembs 1, Binghamton, NY 13903 | 2006-03-14 |
| 1437156593 | Sumanlal Jeramdas Kaneria | Psychiatry & Neurology | 20 Hawley St, Binghamton, NY 13901-3216 | 2005-07-05 |
| 1275980385 | Michael Petetit | Psychiatry & Neurology | 10-42 Mitchell Ave, Binghamton, NY 13903-1617 | 2016-05-18 |
| 1336595578 | Tara J Belsare, Md | Psychiatry & Neurology | 38 Riverside Dr, 3rd Floor, Binghamton, NY 13905-4596 | 2016-05-06 |
| 1952645434 | Sobia Naz Mirza | Psychiatry & Neurology | 33 Mitchell Ave, Suite G-80, Binghamton, NY 13903-1642 | 2012-11-21 |
| Find all providers in BINGHAMTON | ||||
| City | BINGHAMTON |
| Zip Code | 13901 |
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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.