Noel C Gardner, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

1788521205 Issued in UT

Practice address

515 E 4500 S Ste G220
Salt Lake City, UT 84107

Phone

(801) 590-9557

Fax

(801) 590-9957

NPI assigned

Jul 21, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Ihc Health Services Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Midvale, UT
  • NPI 1891810867
  NPD (past)
• Ihc Health Services, Inc.

  • Psychiatry Physician
  • St George, UT
  • NPI 1023843844
  NPD (past)
• University of Utah Medical Center Psychiatry

  • Psychiatry Physician
  • Salt Lake City, UT
  • NPI 1821024217
  NPD (past)
• Valley Behavioral Health Incorporated

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • West Valley City, UT
  • NPI 1932166980

  Psychiatry

  NPD (past)

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548720000000",
    "number": "1285655746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 E 4500 S STE G220",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841075702",
            "telephone_number": "801-590-9557",
            "fax_number": "801-590-9957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 E 4500 S STE G220",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "84107",
            "telephone_number": "801-590-9557",
            "fax_number": "801-590-9957"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "829 E Forest Brook Cir",
            "address_purpose": "LOCATION",
            "city": "Murray",
            "state": "UT",
            "postal_code": "84107",
            "country_code": "US",
            "telephone_number": "801-673-8287",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1225 Fort Union Blvd Ste 215",
            "address_purpose": "LOCATION",
            "city": "Midvale",
            "state": "UT",
            "postal_code": "840471882",
            "country_code": "US",
            "telephone_number": "801-501-4350",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "515 E 4500 S Ste G220",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "84107",
            "country_code": "US",
            "telephone_number": "801-590-9557",
            "fax_number": "801-590-9957",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "NOEL",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2019-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "UT",
            "license": "1788521205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Marie Gardner
• John Gardner, PHARMD
• Loren E Gardner
• Madison Elizabeth Gardner
• Michael D Gardner, PH.D.
• S Donald Gardner, D.M.D.
• Shanna A Gardner
• Tiera Jean Gardner
• Crystal Nicole Garduno, APC
• Allison Gardzalla

• Psychiatry Physician in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Psychiatry Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2019; 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.