Individual provider Active NPI

Doris C. Garner, PHD

  • Clinical Psychologist
  • Pocomoke, MD
National Provider Identifier
1245364181
Registry record updated Aug 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
02514 Issued in MD
Practice address
Pocomoke Health Center
400A Walnut Street
Pocomoke, MD 21851
Phone
(410) 957-2005
Fax
(410) 957-2417
NPI assigned
Mar 15, 2007
Last updated
Aug 26, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 02514 MD Primary

Addresses

Primary practice location

Pocomoke Health Center
400A Walnut Street
Pocomoke, MD 21851

Mailing address

8420 Follow Ditch Rd
Westover, MD 21871-3024
Phone (410) 957-3108

Other identifiers 1

IdentifierTypeStateIssuer
705371101MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080919000102 MD Practitioner - Clinical Psychologist 9537239173 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

8420 Follow Ditch Rd
Westover, MD 21871-3024
Phone (410) 957-3105

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
02514MDMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Psychological Offices of Doris C. Garner, PH.D., PC CurrentSince Jan 1, 2007 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282780800000",
    "number": "1245364181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8420 FOLLOW DITCH RD",
            "city": "WESTOVER",
            "state": "MD",
            "postal_code": "218713024",
            "telephone_number": "410-957-3108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "POCOMOKE HEALTH CENTER",
            "address_2": "400A WALNUT STREET",
            "city": "POCOMOKE",
            "state": "MD",
            "postal_code": "21851",
            "telephone_number": "410-957-2005",
            "fax_number": "410-957-2417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARNER",
        "first_name": "DORIS",
        "middle_name": "C.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-15",
        "last_updated": "2010-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MD",
            "license": "02514",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "705371101",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pocomoke, MD

Sources for this page

Verify at the official NPI Registry.