Rachel Anne Gardner, PH.D.

Primary specialty

Health Service PsychologistTaxonomy code 103TH0100X

License

56332

Practice address

591 State Route 244
Alfred Station, NY 14803-1580

Phone

(585) 204-7560

Fax

(585) 206-4903

NPI assigned

Sep 2, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

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.

• Southern Tier Psychology, PC

  • Clinical Psychologist
  • Alfred Station, NY
  • NPI 1043044092
  NPD Authorized official
• Southern Tier Psychology, PC

  • Clinical Psychologist
  • Alfred Station, NY
  • NPI 1437094091
  NPD Authorized official

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

{
    "created_epoch": "1409616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724889600000",
    "number": "1386044923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5268 LANDIS RD",
            "city": "HORNELL",
            "state": "NY",
            "postal_code": "148439026",
            "telephone_number": "585-204-7560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "591 STATE ROUTE 244",
            "city": "ALFRED STATION",
            "state": "NY",
            "postal_code": "148031580",
            "telephone_number": "585-204-7560",
            "fax_number": "585-206-4903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "RACHEL",
        "middle_name": "ANNE",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-02",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "022851-1",
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": null,
            "license": "56332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tara Calhoun, LCSW
• Samuel G Cali, LMHC
• Laertes C Cushing
• Pamela Pitt Jones, FNP C
• Sylvia Kelley Knowlton, M.D.
• Phoenix Rising Therapeutic Services LCSW PC
• Norman James Pollard, ED.D.
• Cody James Prince, FNP

• Health Service Psychologist in Alfred Station, NY
• Providers in Alfred Station, NY by specialty
• Health Service Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2024; 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.