NPIMap

Organization Active NPI

James P. Gardepe

  • Psychologist
  • Huntsville, AL
National Provider Identifier
1275701955
Registry record updated Jun 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
523 Issued in AL
Legal business name
JAMES P. GARDEPE
Practice address
915 Willowbrook Dr SE
Suite C
Huntsville, AL 35802-3262
Phone
(256) 882-2004
NPI assigned
Feb 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2008

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

Authorized official

Name
Dr. James Preston Gardepe, PH.D.NPI 1548392129
Title
Owner
Phone
(256) 882-2004

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103T00000X 523 AL Primary
Cognitive & Behavioral PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TB0200X 523 AL
Intellectual & Developmental Disabilities PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TM1800X 523 AL

Addresses

Primary practice location

915 Willowbrook Dr SE
Suite C
Huntsville, AL 35802-3262

Mailing address

915 Willowbrook Dr SE
Suite C
Huntsville, AL 35802-3262
Phone (256) 882-2004

Other identifiers 2

IdentifierTypeStateIssuer
51074448GAROtherALBC/BS OF ALABAMA
529400650MedicaidAL

Other names 1

  • Applied Behavior Consulting Doing business as

National Provider Directory

National Provider Directory

Locations

915 Willowbrook Dr SE
Ste C
Huntsville, AL 35802
Phone (256) 882-2004

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1202947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1275701955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 WILLOWBROOK DR SE",
            "address_2": "SUITE C",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358023262",
            "telephone_number": "256-882-2004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 WILLOWBROOK DR SE",
            "address_2": "SUITE C",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358023262",
            "telephone_number": "256-882-2004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES P. GARDEPE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-14",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "GARDEPE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "PRESTON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-882-2004",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "AL",
            "license": "523",
            "primary": true
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "AL",
            "license": "523",
            "primary": false
        },
        {
            "code": "103TM1800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "AL",
            "license": "523",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF ALABAMA",
            "identifier": "51074448GAR",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529400650",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Applied Behavior Consulting",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.