Active NPI
James Preston Gardepe, PH.D.
- Psychologist
- Huntsville, AL
National Provider Identifier
1548392129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 523
- Practice address
- 915 Willowbrook Dr SE
Suite C
Huntsville, AL 35802-3262 - Phone
- (256) 882-2004
- NPI assigned
- Mar 9, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 523 | AL | Primary |
| Cognitive & Behavioral Psychologist | 103TB0200X | 523 | AL | |
| Intellectual & Developmental Disabilities Psychologist | 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 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000074448 | Medicaid | AL | |
| 510-74448GAR | Other | AL | BCBS OF ALABAMA |
| 529400650 | Medicaid | AL |
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 523 | AL | MD | Cognitive & Behavioral Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| James P. Gardepe | Psychologist | Past | 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 and National Provider Directory roles.
-
- Psychologist
- Huntsville, AL
- NPI 1275701955
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1268697600000",
"number": "1548392129",
"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": {
"last_name": "GARDEPE",
"first_name": "JAMES",
"middle_name": "PRESTON",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-09",
"last_updated": "2010-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "AL",
"license": "523",
"primary": true
},
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "AL",
"license": "523",
"primary": false
},
{
"code": "103TM1800X",
"taxonomy_group": "",
"desc": "Psychologist, Intellectual & Developmental Disabilities",
"state": "AL",
"license": "523",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000074448",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF ALABAMA",
"identifier": "510-74448GAR",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "529400650",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
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 Mar 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.