Active NPI
Madelyn W. Garner, LPA, LSSP, ASDCS
- Clinical Psychologist
- Corpus Christi, TX
National Provider Identifier
1083391866
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 34460
- Practice address
- 15533 Finistere St
Corpus Christi, TX 78418-6444 - Phone
- (361) 244-3811
- NPI assigned
- Jul 3, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 34460 | TX | Primary |
| School Psychologist | 103TS0200X | 34325 | TX |
Addresses
Primary practice location
15533 Finistere St
Corpus Christi, TX 78418-6444
Mailing address
15533 Finistere St
Corpus Christi, TX 78418-6444
Phone (361) 244-3811
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1688342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688342400000",
"number": "1083391866",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15533 FINISTERE ST",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784186444",
"telephone_number": "361-244-3811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15533 FINISTERE ST",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784186444",
"telephone_number": "361-244-3811"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARNER",
"first_name": "MADELYN",
"middle_name": "W.",
"credential": "LPA, LSSP, ASDCS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-07-03",
"last_updated": "2023-07-03",
"certification_date": "2023-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "TX",
"license": "34460",
"primary": true
},
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "TX",
"license": "34325",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Corpus Christi, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.