Active NPI
Jennifer F Gardner, PHD
- Psychologist
- Tuscaloosa, AL
National Provider Identifier
1023570686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 1019
- Practice address
- 115 Harper Court
Tuscaloosa, AL 35401-1250 - Phone
- (205) 366-3010
- Fax
- (205) 366-3012
- NPI assigned
- Apr 3, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychiatric Hospital
- Montgomery, AL
- NPI 1619190998
-
- Psychiatric Hospital
- Tuscaloosa, AL
- NPI 1033213624
-
- Psychiatric Hospital
- Tuscaloosa, AL
- NPI 1053416347
-
- Psychiatric Hospital
- Tuscaloosa, AL
- NPI 1437295409
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- State of Alabama Dept of Mental Health and Mental Retardation
Practice addresses (Care Compare)
115 Harper CT
Tuscaloosa, AL 35401-7454
Phone (205) 366-3010
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190621001220 | AL | Practitioner - Clinical Psychologist | 9032443239 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of Alabama Dept of Finance | Current | Accepting new patients | |
| State of Alabama Dept of Mental Health & Mental Retardation | Current | Accepting new patients | |
| State of Alabama Dept of Finace | Current | Accepting new patients |
Locations
115 Harper Ct
Tuscaloosa, AL 35401
Phone (205) 366-3010
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 1019 | AL | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
115 Harper Court
Tuscaloosa, AL 35401-1250
Mailing address
PO Box 21231
Tuscaloosa, AL 35402-1231
Phone (205) 366-3010
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 3, 2019.
{
"created_epoch": "1554249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554249600000",
"number": "1023570686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 21231",
"city": "TUSCALOOSA",
"state": "AL",
"postal_code": "354021231",
"telephone_number": "205-366-3010",
"fax_number": "205-366-3012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 HARPER COURT",
"city": "TUSCALOOSA",
"state": "AL",
"postal_code": "354011250",
"telephone_number": "205-366-3010",
"fax_number": "205-366-3012"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARDNER",
"first_name": "JENNIFER",
"middle_name": "F",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-03",
"last_updated": "2019-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "AL",
"license": "1019",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tuscaloosa, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.