Dr. Leora Gardner,PH.D.,P.a.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY0005116 Issued in FL

Legal business name

DR. LEORA GARDNER,PH.D.,P.A.

Practice address

2600 N Military TRL
Suite 270
Boca Raton, FL 33431-6312

Phone

(561) 414-1650

Fax

(561) 241-4943

NPI assigned

Nov 6, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Leora J. Gardner, PH.D.

Title

President

Phone

(561) 414-1650

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Dr Leora Gardnerphdpa2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Dr. Leora Gardner,PH.D.,P.a.

  • Psychologist
  • Boca Raton, FL
  • NPI 1467552752
  NPD tax ID

Locations

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619046836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 N MILITARY TRL",
            "address_2": "SUITE 270",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334316312",
            "telephone_number": "561-414-1650",
            "fax_number": "561-241-4943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 N MILITARY TRL",
            "address_2": "SUITE 270",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334316312",
            "telephone_number": "561-414-1650",
            "fax_number": "561-241-4943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. LEORA GARDNER,PH.D.,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GARDNER",
        "authorized_official_first_name": "LEORA",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-414-1650",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY0005116",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "PY0005116",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dr. Jeremy Grunfeld, LLC
• Dr. Jessica B. Kordansky, PA
• Dr. Leonard J. Ferrante LLC
• Dr. Leora Gardner, PH.D.,P.a.
• Dr. Leora Gardner,PH.D.,P.a.
• Dr. Melinda a. Shoemaker D/B/a/ Associates in Psychological Care
• Dr. Raphael Wald LLC
• Dr.Barbara Rien DPM PA
• Emma Simonne Drac
• Tiffinny Drake, NP

• Clinical Psychologist in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.